Healther Providers Data Logo

44D2178465 CLIA NUMBER - DEFINITE WELLNESS

Laboratory Demographics

CLIA Number: 44D2178465

Facility Name: DEFINITE WELLNESS

Facility Address:
401 WILSON AVE
TULLAHOMA, TN
ZIP 37388
Get Directions

Facility Phone Number: 931 434-0439

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1285279265

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name Field Value
CLIA Number 44D2178465
LAB Type Physician Office
Facility Name DEFINITE WELLNESS
Street 401 WILSON AVE
City TULLAHOMA
State TN
ZIP 37388
Phone 931 434-0439
CertificateType 4
CertificateEffectiveDate 2/4/2024
CertificateExpirationDate 2/3/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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