44D1104076 CLIA NUMBER - VIDYA R BETHI, MD

Laboratory Demographics

  • CLIA Code: 44D1104076
  • Facility Name: VIDYA R BETHI, MD
  • Facility Address: 482 WARFIELD BLVD
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 906-6644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIDYA R. BETHI
  • NPI Number: 1922008440
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1104076
LAB Type Physician Office
Facility Name VIDYA R BETHI, MD
Street 482 WARFIELD BLVD
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 906-6644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. VIDYA R. BETHI

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