44D2321421 CLIA NUMBER - RESTORATION PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 44D2321421
  • Facility Name: RESTORATION PRIMARY CARE PLLC
  • Facility Address: 1385 SOUTH COLLEGE ST STE 1
    WINCHESTER, TN
    ZIP 37398
  • Facility Phone: 931 919-4087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHANNON FOSTER
  • NPI Number: 1609691385
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2321421
LAB Type Physician Office
Facility Name RESTORATION PRIMARY CARE PLLC
Street 1385 SOUTH COLLEGE ST STE 1
City WINCHESTER
State TN
ZIP 37398
Phone 931 919-4087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director DR. SHANNON FOSTER

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