44D2178465 CLIA NUMBER - DEFINITE WELLNESS

Laboratory Demographics

  • CLIA Code: 44D2178465
  • Facility Name: DEFINITE WELLNESS
  • Facility Address: 401 WILSON AVE
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 434-0439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CANDICE M. KINNEY
  • NPI Number: 1285279265
  • Taxonomy: 363L00000X - Nurse Practitioner

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director CANDICE M. KINNEY

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