44D2276742 CLIA NUMBER - CLINICA HISPANA PLLC

Laboratory Demographics

  • CLIA Code: 44D2276742
  • Facility Name: CLINICA HISPANA PLLC
  • Facility Address: 301 WOLVERINE TRAIL SUITE 202
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 801-2087
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. EDMUNDO H. YIBIRIN
  • NPI Number: 1235801176
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2276742
LAB Type Physician Office
Facility Name CLINICA HISPANA PLLC
Street 301 WOLVERINE TRAIL SUITE 202
City SMYRNA
State TN
ZIP 37167
Phone 615 801-2087
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director DR. EDMUNDO H. YIBIRIN

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