44D1012977 CLIA NUMBER - CUMBERLAND ADULT MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 44D1012977
  • Facility Name: CUMBERLAND ADULT MEDICINE, PLLC
  • Facility Address: 597 SHELBYVILLE ROAD
    MC MINNVILLE, TN
    ZIP 37110
  • Facility Phone: 931 815-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN B. HARLOW MD
  • NPI Number: 1942307012
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 44D1012977
LAB Type Physician Office
Facility Name CUMBERLAND ADULT MEDICINE, PLLC
Street 597 SHELBYVILLE ROAD
City MC MINNVILLE
State TN
ZIP 37110
Phone 931 815-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director SUSAN B. HARLOW MD

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This page was last updated on: 9/29/2025