44D2048008 CLIA NUMBER - ELITE PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 44D2048008
  • Facility Name: ELITE PRIMARY CARE LLC
  • Facility Address: 2690 MADISON ST STE 130
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 245-1701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLO L. PIKE
  • NPI Number: 1861732745
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2048008
LAB Type Physician Office
Facility Name ELITE PRIMARY CARE LLC
Street 2690 MADISON ST STE 130
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 245-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director CARLO L. PIKE

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