44D2153987 CLIA NUMBER - DICKSON MEDICAL ASSOCIATES-FAIRVIEW

Laboratory Demographics

  • CLIA Code: 44D2153987
  • Facility Name: DICKSON MEDICAL ASSOCIATES-FAIRVIEW
  • Facility Address: 2340 FAIRVIEW BLVD
    FAIRVIEW, TN
    ZIP 37062
  • Facility Phone: 615 446-1328
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL J. SHERWOOD
  • NPI Number: 1710565205
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2153987
LAB Type Physician Office
Facility Name DICKSON MEDICAL ASSOCIATES-FAIRVIEW
Street 2340 FAIRVIEW BLVD
City FAIRVIEW
State TN
ZIP 37062
Phone 615 446-1328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director DR. DANIEL J. SHERWOOD

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