44D2277442 CLIA NUMBER - GRACE WELLNESS

Laboratory Demographics

  • CLIA Code: 44D2277442
  • Facility Name: GRACE WELLNESS
  • Facility Address: 107 IMPERIAL BLVD, SUITE 5
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 757-6787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH WILLIAMS
  • NPI Number: 1326745522
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2277442
LAB Type Physician Office
Facility Name GRACE WELLNESS
Street 107 IMPERIAL BLVD, SUITE 5
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 757-6787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director KENNETH WILLIAMS

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