44D2075326 CLIA NUMBER - PREMIER PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2075326
  • Facility Name: PREMIER PRIMARY CARE, PLLC
  • Facility Address: 702 SHERRILL STREET SUITE B
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 731 885-8884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRENDA R. DEXTER
  • NPI Number: 1841614005
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2075326
LAB Type Physician Office
Facility Name PREMIER PRIMARY CARE, PLLC
Street 702 SHERRILL STREET SUITE B
City UNION CITY
State TN
ZIP 38261
Phone 731 885-8884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director DR. BRENDA R. DEXTER

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