44D2297810 CLIA NUMBER - TENNESSEE PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 44D2297810
  • Facility Name: TENNESSEE PRIMARY CARE, LLC
  • Facility Address: 768 S WILLOW AVE, SUITE A
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 559-6900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN M. ALEXANDER
  • NPI Number: 1760251946
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2297810
LAB Type Physician Office
Facility Name TENNESSEE PRIMARY CARE, LLC
Street 768 S WILLOW AVE, SUITE A
City COOKEVILLE
State TN
ZIP 38501
Phone 931 559-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director STEVEN M. ALEXANDER

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