44D2092821 CLIA NUMBER - PREMIER RADIOLOGY- CLARKSVILLE

Laboratory Demographics

  • CLIA Code: 44D2092821
  • Facility Name: PREMIER RADIOLOGY- CLARKSVILLE
  • Facility Address: 980 PROFESSIONAL PARK DRIVE, SUITE E
    CLARKSVILLE, TN
    ZIP 37040
  • Facility Phone: 931 436-9307
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEE COLE
  • NPI Number: 1831597806
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2092821
LAB Type Physician Office
Facility Name PREMIER RADIOLOGY- CLARKSVILLE
Street 980 PROFESSIONAL PARK DRIVE, SUITE E
City CLARKSVILLE
State TN
ZIP 37040
Phone 931 436-9307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director ASHLEE COLE

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