44D2245780 CLIA NUMBER - CUMBERLAND PEDIATRIC ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 44D2245780
  • Facility Name: CUMBERLAND PEDIATRIC ASSOCIATES PLLC
  • Facility Address: 333 E MCMURRY BLVD
    HARTSVILLE, TN
    ZIP 37074
  • Facility Phone: 615 549-7737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES JORDAN
  • NPI Number: 1366174161
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2245780
LAB Type Physician Office
Facility Name CUMBERLAND PEDIATRIC ASSOCIATES PLLC
Street 333 E MCMURRY BLVD
City HARTSVILLE
State TN
ZIP 37074
Phone 615 549-7737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director CHARLES JORDAN

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