44D2005889 CLIA NUMBER - SINGLETON FAMILY PRACTICE & WEIGHT LOSS CLINIC, LLC

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Laboratory Demographics

CLIA Number: 44D2005889

Facility Name: SINGLETON FAMILY PRACTICE & WEIGHT LOSS CLINIC, LLC

Facility Address:
430 LONG HOLLOW PIKE SUITE E
GOODLETTSVILLE, TN
ZIP 37072
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Facility Phone Number: 615 859-8081

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023624376

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	44D2005889
LAB Type	Physician Office
Facility Name	SINGLETON FAMILY PRACTICE & WEIGHT LOSS CLINIC, LLC
Street	430 LONG HOLLOW PIKE SUITE E
City	GOODLETTSVILLE
State	TN
ZIP	37072
Phone	615 859-8081
CertificateType	4
CertificateEffectiveDate	4/7/2024
CertificateExpirationDate	4/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024