44D2141684 CLIA NUMBER - DICKSON MEDICAL ASSOCIATES WHITE BLUFF

Laboratory Demographics

  • CLIA Code: 44D2141684
  • Facility Name: DICKSON MEDICAL ASSOCIATES WHITE BLUFF
  • Facility Address: 2004 HWY 47 N
    WHITE BLUFF, TN
    ZIP 37187
  • Facility Phone: (615) 908-3680
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEMOND C. WHITE
  • NPI Number: 1851805188
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2141684
LAB Type Physician Office
Facility Name DICKSON MEDICAL ASSOCIATES WHITE BLUFF
Street 2004 HWY 47 N
City WHITE BLUFF
State TN
ZIP 37187
Phone 6159083680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2025
Certificate Expiration Date 12/18/2027
Facility Type Physician Office
Lab Director DEMOND C. WHITE

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This page was last updated on: 5/18/2026