44D2132482 CLIA NUMBER - ROCKVALE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D2132482
  • Facility Name: ROCKVALE FAMILY PRACTICE
  • Facility Address: 7800 HIGHWAY 99
    ROCKVALE, TN
    ZIP 37153
  • Facility Phone: 931 224-2973
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PENNY M. MATTHEWS
  • NPI Number: 1326578147
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2132482
LAB Type Community Clinic
Facility Name ROCKVALE FAMILY PRACTICE
Street 7800 HIGHWAY 99
City ROCKVALE
State TN
ZIP 37153
Phone 931 224-2973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Community Clinic
Lab Director PENNY M. MATTHEWS

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