44D2040274 CLIA NUMBER - THE VILLAGE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D2040274
  • Facility Name: THE VILLAGE PRIMARY CARE
  • Facility Address: 6294 HIGHWAY 41A
    PLEASANT VIEW, TN
    ZIP 37146
  • Facility Phone: 615 746-8872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED NORDQUIST
  • NPI Number: 1699031377
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2040274
LAB Type Physician Office
Facility Name THE VILLAGE PRIMARY CARE
Street 6294 HIGHWAY 41A
City PLEASANT VIEW
State TN
ZIP 37146
Phone 615 746-8872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director FRED NORDQUIST

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