44D2267666 CLIA NUMBER - BRAINERD PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2267666
  • Facility Name: BRAINERD PRIMARY CARE, PLLC
  • Facility Address: 5109 BRAINERD ROAD
    CHATTANOOGA, TN
    ZIP 37411
  • Facility Phone: 423 777-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVEED H. MEMON
  • NPI Number: 1952049363
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2267666
LAB Type Physician Office
Facility Name BRAINERD PRIMARY CARE, PLLC
Street 5109 BRAINERD ROAD
City CHATTANOOGA
State TN
ZIP 37411
Phone 423 777-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director NAVEED H. MEMON

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