44D1025200 CLIA NUMBER - TENNESSEE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D1025200
  • Facility Name: TENNESSEE PEDIATRICS
  • Facility Address: 4720 TRADERS WAY, SUITE 600
    THOMPSONS STATION, TN
    ZIP 37179
  • Facility Phone: 615 302-1279
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER H. DODD
  • NPI Number: 1255438750
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1025200
LAB Type Physician Office
Facility Name TENNESSEE PEDIATRICS
Street 4720 TRADERS WAY, SUITE 600
City THOMPSONS STATION
State TN
ZIP 37179
Phone 615 302-1279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER H. DODD

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