44D2082837 CLIA NUMBER - PERSONALIZED PHARMACY SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 44D2082837
  • Facility Name: PERSONALIZED PHARMACY SERVICES, PLLC
  • Facility Address: 3139 LEBANON PIKE
    NASHVILLE, TN
    ZIP 37214
  • Facility Phone: 615 622-2700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUES JACKSON
  • NPI Number: 1891102794
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2082837
LAB Type Pharmacy
Facility Name PERSONALIZED PHARMACY SERVICES, PLLC
Street 3139 LEBANON PIKE
City NASHVILLE
State TN
ZIP 37214
Phone 615 622-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Pharmacy
Lab Director JACQUES JACKSON

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