44D2194245 CLIA NUMBER - NORTH MAIN MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 44D2194245
  • Facility Name: NORTH MAIN MEDICAL LLC
  • Facility Address: 3094 NORTH MAIN STREET
    CROSSVILLE, TN
    ZIP 38555
  • Facility Phone: 931 250-5521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CASEY H. DILLON
  • NPI Number: 1679106306
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2194245
LAB Type Physician Office
Facility Name NORTH MAIN MEDICAL LLC
Street 3094 NORTH MAIN STREET
City CROSSVILLE
State TN
ZIP 38555
Phone 931 250-5521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director CASEY H. DILLON

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