44D2026733 CLIA NUMBER - COOKEVILLE REGIONAL MEDICAL GROUP ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 44D2026733
  • Facility Name: COOKEVILLE REGIONAL MEDICAL GROUP ENDOCRINOLOGY
  • Facility Address: 127 N OAK AVE, SUITE A
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 783-2648
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANTI PITTAMPALLI
  • NPI Number: 1831129717
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2026733
LAB Type Physician Office
Facility Name COOKEVILLE REGIONAL MEDICAL GROUP ENDOCRINOLOGY
Street 127 N OAK AVE, SUITE A
City COOKEVILLE
State TN
ZIP 38501
Phone 931 783-2648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director SHANTI PITTAMPALLI

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