44D2145405 CLIA NUMBER - DICKSON COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 44D2145405
  • Facility Name: DICKSON COMMUNITY CLINIC
  • Facility Address: 114 HIGHWAY 70E STE 5
    DICKSON, TN
    ZIP 37055
  • Facility Phone: 615 441-1486
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRY W. ROSS
  • NPI Number: 1225611692
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2145405
LAB Type Physician Office
Facility Name DICKSON COMMUNITY CLINIC
Street 114 HIGHWAY 70E STE 5
City DICKSON
State TN
ZIP 37055
Phone 615 441-1486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director DR. KERRY W. ROSS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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