44D2046132 CLIA NUMBER - GRACE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 44D2046132
  • Facility Name: GRACE PEDIATRICS, PLLC
  • Facility Address: 238 CENTRE STREET, SUITE 100
    PLEASANT VIEW, TN
    ZIP 37146
  • Facility Phone: 615 746-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMORI CUMMINGS
  • NPI Number: 1992553689
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2046132
LAB Type Physician Office
Facility Name GRACE PEDIATRICS, PLLC
Street 238 CENTRE STREET, SUITE 100
City PLEASANT VIEW
State TN
ZIP 37146
Phone 615 746-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director DR. SAMORI CUMMINGS

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