44D2278509 CLIA NUMBER - CLARKSVILLE MIDWIFERY LLC

Laboratory Demographics

  • CLIA Code: 44D2278509
  • Facility Name: CLARKSVILLE MIDWIFERY LLC
  • Facility Address: 225 DUNBAR CAVE ROAD, SUITE B
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 820-2646
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JENNIFER R. FARDINK
  • NPI Number: 1508335696
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2278509
LAB Type Practitioner Other
Facility Name CLARKSVILLE MIDWIFERY LLC
Street 225 DUNBAR CAVE ROAD, SUITE B
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 820-2646
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Practitioner Other
Lab Director JENNIFER R. FARDINK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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