44D2100606 CLIA NUMBER - FAIRVUE FAMILY WELLNESS

Laboratory Demographics

  • CLIA Code: 44D2100606
  • Facility Name: FAIRVUE FAMILY WELLNESS
  • Facility Address: 225 BIG STATION CAMP BLVD, SUITE 206
    GALLATIN, TN
    ZIP 37066
  • Facility Phone: 615 451-5110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES J. BOTSKO
  • NPI Number: 1083097711
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2100606
LAB Type Physician Office
Facility Name FAIRVUE FAMILY WELLNESS
Street 225 BIG STATION CAMP BLVD, SUITE 206
City GALLATIN
State TN
ZIP 37066
Phone 615 451-5110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director DR. JAMES J. BOTSKO

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