44D2254625 CLIA NUMBER - PERIMETER PAIN AND PRIMARY

Laboratory Demographics

  • CLIA Code: 44D2254625
  • Facility Name: PERIMETER PAIN AND PRIMARY
  • Facility Address: 879 W JACKSON STREET
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 486-3345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY R. BUNKER
  • NPI Number: 1497414437
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2254625
LAB Type Physician Office
Facility Name PERIMETER PAIN AND PRIMARY
Street 879 W JACKSON STREET
City COOKEVILLE
State TN
ZIP 38501
Phone 931 486-3345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director TIMOTHY R. BUNKER

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