44D1089246 CLIA NUMBER - PRIMARY CARE GROUP LLC

Laboratory Demographics

  • CLIA Code: 44D1089246
  • Facility Name: PRIMARY CARE GROUP LLC
  • Facility Address: 2961 CANADA ROAD STE 105
    LAKELAND, TN
    ZIP 38002
  • Facility Phone: 901 388-0115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA M. CULBRETH
  • NPI Number: 1952563744
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1089246
LAB Type Physician Office
Facility Name PRIMARY CARE GROUP LLC
Street 2961 CANADA ROAD STE 105
City LAKELAND
State TN
ZIP 38002
Phone 901 388-0115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director ANGELA M. CULBRETH

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