44D1076152 CLIA NUMBER - WOMBLE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 44D1076152
  • Facility Name: WOMBLE HEALTHCARE
  • Facility Address: 208 LANE PARKWAY
    SHELBYVILLE, TN
    ZIP 37160
  • Facility Phone: (931) 685-9277
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: LYNETTE A. WOMBLE
  • NPI Number: 1972903375
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D1076152
LAB Type Practitioner Other
Facility Name WOMBLE HEALTHCARE
Street 208 LANE PARKWAY
City SHELBYVILLE
State TN
ZIP 37160
Phone 9316859277
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/6/2025
Certificate Expiration Date 11/5/2027
Facility Type Practitioner Other
Lab Director LYNETTE A. WOMBLE

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This page was last updated on: 5/18/2026