44D2062177 CLIA NUMBER - MEDICAL DIRECT CARE, PLC

Laboratory Demographics

  • CLIA Code: 44D2062177
  • Facility Name: MEDICAL DIRECT CARE, PLC
  • Facility Address: 190 HATCHER LANE, SUITE B
    CLARKSVILLE, TN
    ZIP 37040
  • Facility Phone: 931 221-0902
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY FRYER
  • NPI Number: 1104253327
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2062177
LAB Type Physician Office
Facility Name MEDICAL DIRECT CARE, PLC
Street 190 HATCHER LANE, SUITE B
City CLARKSVILLE
State TN
ZIP 37040
Phone 931 221-0902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director GREGORY FRYER

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