44D2159887 CLIA NUMBER - HEALING WATERS WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 44D2159887
  • Facility Name: HEALING WATERS WELLNESS CENTER, LLC
  • Facility Address: 9695 LEABANON ROAD, SUITE 340
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 833 432-5987
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JANET C. PELMORE
  • NPI Number: 1730698622
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2159887
LAB Type Physician Office
Facility Name HEALING WATERS WELLNESS CENTER, LLC
Street 9695 LEABANON ROAD, SUITE 340
City MOUNT JULIET
State TN
ZIP 37122
Phone 833 432-5987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director DR. JANET C. PELMORE

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