44D2218804 CLIA NUMBER - WTPC, LLC

Laboratory Demographics

  • CLIA Code: 44D2218804
  • Facility Name: WTPC, LLC
  • Facility Address: 541 W PARK PL
    HENDERSON, TN
    ZIP 38340
  • Facility Phone: 731 989-1007
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: TRACI K. HILL
  • NPI Number: 1386235083
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2218804
LAB Type Rural Health Clinic
Facility Name WTPC, LLC
Street 541 W PARK PL
City HENDERSON
State TN
ZIP 38340
Phone 731 989-1007
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Rural Health Clinic
Lab Director TRACI K. HILL

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