44D2064264 CLIA NUMBER - RAPHA FAMILY WELLNESS, PLLC

Laboratory Demographics

  • CLIA Code: 44D2064264
  • Facility Name: RAPHA FAMILY WELLNESS, PLLC
  • Facility Address: 129 INDIAN LAKE ROAD
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 338-5750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALINDA LINN
  • NPI Number: 1336571256
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2064264
LAB Type Physician Office
Facility Name RAPHA FAMILY WELLNESS, PLLC
Street 129 INDIAN LAKE ROAD
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 338-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MALINDA LINN

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