44D2002945 CLIA NUMBER - GRACE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 44D2002945
  • Facility Name: GRACE PEDIATRICS, PLLC
  • Facility Address: 1335 ROCK SPRINGS ROAD
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 459-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMORI CUMMINGS
  • NPI Number: 1467781690
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2002945
LAB Type Physician Office
Facility Name GRACE PEDIATRICS, PLLC
Street 1335 ROCK SPRINGS ROAD
City SMYRNA
State TN
ZIP 37167
Phone 615 459-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director DR. SAMORI CUMMINGS

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