44D2110709 CLIA NUMBER - PINEWOOD MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 44D2110709
  • Facility Name: PINEWOOD MEDICAL LLC
  • Facility Address: 3499 HWY 70 W
    DICKSON, TN
    ZIP 37055
  • Facility Phone: 615 326-8121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN ORSBON
  • NPI Number: 1073983920
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2110709
LAB Type Physician Office
Facility Name PINEWOOD MEDICAL LLC
Street 3499 HWY 70 W
City DICKSON
State TN
ZIP 37055
Phone 615 326-8121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director SUSAN ORSBON

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