44D2169542 CLIA NUMBER - BELINDA CAVER-BALLARD

Laboratory Demographics

CLIA Number: 44D2169542

Facility Name: BELINDA CAVER-BALLARD

Facility Address:
2237 LOWES DRIVE W SUITE A
CLARKSVILLE, TN
ZIP 37040
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Facility Phone Number: 931 272-2446

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1457867798

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	44D2169542
LAB Type	Practitioner Other
Facility Name	BELINDA CAVER-BALLARD
Street	2237 LOWES DRIVE W SUITE A
City	CLARKSVILLE
State	TN
ZIP	37040
Phone	931 272-2446
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024