44D2306065 CLIA NUMBER - LIFELONG PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2306065
  • Facility Name: LIFELONG PRIMARY CARE, PLLC
  • Facility Address: 560 N CHANCERY STREET
    MCMINNVILLE, TN
    ZIP 37110
  • Facility Phone: 615 780-8445
  • Facility Type: Other - PA-C OWNED PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: SARAH B. LONG
  • NPI Number: 1780431130
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2306065
LAB Type Other - PA-C OWNED PRIMARY CARE
Facility Name LIFELONG PRIMARY CARE, PLLC
Street 560 N CHANCERY STREET
City MCMINNVILLE
State TN
ZIP 37110
Phone 615 780-8445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - PA-C OWNED PRIMARY CARE
Lab Director SARAH B. LONG

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