44D2320470 CLIA NUMBER - HOMETOWN PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 44D2320470
  • Facility Name: HOMETOWN PEDIATRICS PLLC
  • Facility Address: 612 S CONGRESS BLVD STE A
    SMITHVILLE, TN
    ZIP 37166
  • Facility Phone: 615 215-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER M. BRADFORD
  • NPI Number: 1790509917
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2320470
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRICS PLLC
Street 612 S CONGRESS BLVD STE A
City SMITHVILLE
State TN
ZIP 37166
Phone 615 215-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director HEATHER M. BRADFORD

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