44D2033833 CLIA NUMBER - SMYRNA PEDIATRICS PLLC SMYRNA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D2033833
  • Facility Name: SMYRNA PEDIATRICS PLLC SMYRNA PEDIATRICS
  • Facility Address: 741 PRESIDENT PLACE, SUITE 210
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 625-7780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL M. RICAFORT
  • NPI Number: 1992183271
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2033833
LAB Type Physician Office
Facility Name SMYRNA PEDIATRICS PLLC SMYRNA PEDIATRICS
Street 741 PRESIDENT PLACE, SUITE 210
City SMYRNA
State TN
ZIP 37167
Phone 615 625-7780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director RACHEL M. RICAFORT

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