44D2298539 CLIA NUMBER - PROACTIVE MD TN PC DBA THRIVE HEALTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 44D2298539
  • Facility Name: PROACTIVE MD TN PC DBA THRIVE HEALTH AND WELLNESS CENTER
  • Facility Address: 100 N MAIN ST, STE 105
    CLINTON, TN
    ZIP 37716
  • Facility Phone: 865 350-5225
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILLIANE L. MCNEW
  • NPI Number: 1518017649
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 44D2298539
LAB Type Practitioner Other
Facility Name PROACTIVE MD TN PC DBA THRIVE HEALTH AND WELLNESS CENTER
Street 100 N MAIN ST, STE 105
City CLINTON
State TN
ZIP 37716
Phone 865 350-5225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Practitioner Other
Lab Director JILLIANE L. MCNEW

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