44D2298180 CLIA NUMBER - WOODLAND WELLNESS OF TULLAHOMA

Laboratory Demographics

  • CLIA Code: 44D2298180
  • Facility Name: WOODLAND WELLNESS OF TULLAHOMA
  • Facility Address: 501 N JACKSON STREET
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 954-5219
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. VANN
  • NPI Number: 1699545780
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2298180
LAB Type Physician Office
Facility Name WOODLAND WELLNESS OF TULLAHOMA
Street 501 N JACKSON STREET
City TULLAHOMA
State TN
ZIP 37388
Phone 931 954-5219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director MARK A. VANN

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