44D1087364 CLIA NUMBER - PITTMAN INTERNAL MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 44D1087364
  • Facility Name: PITTMAN INTERNAL MEDICINE, PLLC
  • Facility Address: 8001 CENTERVIEW PARKWAY, SUITE 218
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 901 756-1216
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEAU PITTMAN MD
  • NPI Number: 1417123084
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1087364
LAB Type Physician Office
Facility Name PITTMAN INTERNAL MEDICINE, PLLC
Street 8001 CENTERVIEW PARKWAY, SUITE 218
City CORDOVA
State TN
ZIP 38018
Phone 901 756-1216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director BEAU PITTMAN MD

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