44D2317605 CLIA NUMBER - LUNCEFORD PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2317605
  • Facility Name: LUNCEFORD PRIMARY CARE, PLLC
  • Facility Address: 4777 ANDREW JACKSON PKWY, SUITE 101
    HERMITAGE, TN
    ZIP 37076
  • Facility Phone: 615 889-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY KATHRYN LUNCEFORD-LEVESQUE
  • NPI Number: 1902619661
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2317605
LAB Type Physician Office
Facility Name LUNCEFORD PRIMARY CARE, PLLC
Street 4777 ANDREW JACKSON PKWY, SUITE 101
City HERMITAGE
State TN
ZIP 37076
Phone 615 889-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director MARY KATHRYN LUNCEFORD-LEVESQUE

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