44D2262956 CLIA NUMBER - BRADLEY PHYSICIAN SERVICES, LLC DBA BRADEY PHYS SERVICES-VITRUVIAN HEALTH PRIMARY CARE-SOUTH

Laboratory Demographics

  • CLIA Code: 44D2262956
  • Facility Name: BRADLEY PHYSICIAN SERVICES, LLC DBA BRADEY PHYS SERVICES-VITRUVIAN HEALTH PRIMARY CARE-SOUTH
  • Facility Address: 2414 CHAMBLISS AVE NW
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 242-2316
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CECIL B. BREETZKE
  • NPI Number: 1710727540
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2262956
LAB Type Physician Office
Facility Name BRADLEY PHYSICIAN SERVICES, LLC DBA BRADEY PHYS SERVICES-VITRUVIAN HEALTH PRIMARY CARE-SOUTH
Street 2414 CHAMBLISS AVE NW
City CLEVELAND
State TN
ZIP 37311
Phone 423 242-2316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director CECIL B. BREETZKE

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