44D2229450 CLIA NUMBER - GRACE LAND RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 44D2229450
  • Facility Name: GRACE LAND RECOVERY LLC
  • Facility Address: 134 TIMBER CREEK DRIVE
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 404 444-6228
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRETT A. NELSON
  • NPI Number: 1245821966
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2229450
LAB Type Independent
Facility Name GRACE LAND RECOVERY LLC
Street 134 TIMBER CREEK DRIVE
City CORDOVA
State TN
ZIP 38018
Phone 404 444-6228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Independent
Lab Director BRETT A. NELSON

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