44D1064076 CLIA NUMBER - RAINBOW PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 44D1064076
  • Facility Name: RAINBOW PEDIATRICS PC
  • Facility Address: 1636 EAST MAIN STREET
    HUMBOLDT, TN
    ZIP 38343
  • Facility Phone: 731 784-7833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINA DIEUDONNE MD
  • NPI Number: 1255474300
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1064076
LAB Type Physician Office
Facility Name RAINBOW PEDIATRICS PC
Street 1636 EAST MAIN STREET
City HUMBOLDT
State TN
ZIP 38343
Phone 731 784-7833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director GINA DIEUDONNE MD

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