44D1057523 CLIA NUMBER - PAULA VASSAR,INC D/B/A INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 44D1057523
  • Facility Name: PAULA VASSAR,INC D/B/A INTERNAL MEDICINE CLINIC
  • Facility Address: 1720 E REELFOOT AVENUE SUITE 103
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 731 885-6600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PAULA H. VASSAR
  • NPI Number: 1275634503
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1057523
LAB Type Practitioner Other
Facility Name PAULA VASSAR,INC D/B/A INTERNAL MEDICINE CLINIC
Street 1720 E REELFOOT AVENUE SUITE 103
City UNION CITY
State TN
ZIP 38261
Phone 731 885-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Practitioner Other
Lab Director PAULA H. VASSAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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