44D2246439 CLIA NUMBER - AVERY MAE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D2246439
  • Facility Name: AVERY MAE PEDIATRICS
  • Facility Address: 329 S ROYAL OAKS BLVD, SUITE 104
    FRANKLIN, TN
    ZIP 37064
  • Facility Phone: 615 261-1313
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SARAH C. ELLIOTT
  • NPI Number: 1760140917
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2246439
LAB Type Practitioner Other
Facility Name AVERY MAE PEDIATRICS
Street 329 S ROYAL OAKS BLVD, SUITE 104
City FRANKLIN
State TN
ZIP 37064
Phone 615 261-1313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Practitioner Other
Lab Director SARAH C. ELLIOTT

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