44D2106382 CLIA NUMBER - PHELPS EYE CARE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2106382
  • Facility Name: PHELPS EYE CARE, PLLC
  • Facility Address: 138 S WASHINGHTON AVE
    HENDERSON, TN
    ZIP 38340
  • Facility Phone: 931 456-5155
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SAMUEL A. PHELPS
  • NPI Number: 1134567845
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 44D2106382
LAB Type Practitioner Other
Facility Name PHELPS EYE CARE, PLLC
Street 138 S WASHINGHTON AVE
City HENDERSON
State TN
ZIP 38340
Phone 931 456-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Practitioner Other
Lab Director SAMUEL A. PHELPS

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