44D1064042 CLIA NUMBER - UPPER CUMBERLAND CANCER CARE

Laboratory Demographics

  • CLIA Code: 44D1064042
  • Facility Name: UPPER CUMBERLAND CANCER CARE
  • Facility Address: 707 S MAIN ST
    CROSSVILLE, TN
    ZIP 38555
  • Facility Phone: 931 456-8435
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK N. HENDRIXSON
  • NPI Number: 1215336508
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1064042
LAB Type Physician Office
Facility Name UPPER CUMBERLAND CANCER CARE
Street 707 S MAIN ST
City CROSSVILLE
State TN
ZIP 38555
Phone 931 456-8435
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DR. MARK N. HENDRIXSON

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