44D2165211 CLIA NUMBER - SUMNER MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 44D2165211
  • Facility Name: SUMNER MEDICAL GROUP PLLC
  • Facility Address: 110 ST BLAISE ROAD, SUITE 200
    GALLATIN, TN
    ZIP 37066
  • Facility Phone: 615 230-8070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HENRY LAU
  • NPI Number: 1831646017
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2165211
LAB Type Physician Office
Facility Name SUMNER MEDICAL GROUP PLLC
Street 110 ST BLAISE ROAD, SUITE 200
City GALLATIN
State TN
ZIP 37066
Phone 615 230-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DR. HENRY LAU

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