44D2211026 CLIA NUMBER - DAYSPRING PEDIATRICS PLC DBA FIREFLY PEDIATRICS

Laboratory Demographics

CLIA Number: 44D2211026

Facility Name: DAYSPRING PEDIATRICS PLC DBA FIREFLY PEDIATRICS

Facility Address:
7693 RHEA COUNTY HWY SUITE 1
DAYTON, TN
ZIP 37321
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Facility Phone Number: 931 707-8700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922696012

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2211026
LAB Type	Physician Office
Facility Name	DAYSPRING PEDIATRICS PLC DBA FIREFLY PEDIATRICS
Street	7693 RHEA COUNTY HWY SUITE 1
City	DAYTON
State	TN
ZIP	37321
Phone	931 707-8700
CertificateType	4
CertificateEffectiveDate	1/25/2023
CertificateExpirationDate	1/24/2025
FacilityType	Waiver

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