CLIA lab
CLIA 44D0694276: Y N Pakkala MD PC
Bolivar, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0694276 belongs to Y N Pakkala MD PC in Bolivar, TN.
Certificate of Waiver, effective July 9, 2026, expires July 8, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 9, 2026
- Certificate expiration
- July 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D0694276
- Lab name
- Y N Pakkala MD PC
- Address
- 630 Nuckolls Road, Bolivar, TN 38008
- Phone
- (731) 658-6011
- Fax
- (731) 658-9884
Annual test volume the lab reported
- Waived tests
- 1,246
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bolivar, TN
- Bolivar General HospitalCertificate of Accreditation, Hospital44D0700807
- Bolivar Health & Rehabilitation LLCCertificate of Waiver, Skilled nursing or nursing facility44D2328962
- Bolivar Operator LLCCertificate of Waiver, Skilled nursing or nursing facility44D0659298
- Brown Behavioral Health ServicesCertificate of Waiver, Rural health clinic44D2306686
- Christian Care Center of BolivarCertificate of Waiver, Skilled nursing or nursing facility44D2228167
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Physician office44D2171172
- Frix Jennings Clinic PCCertificate for Provider-Performed Microscopy Procedures, Physician office44D2011394
- Hardeman County Ambulance ServiceCertificate of Waiver, Ambulance44D0984113
- Hardeman County Board of EducationCertificate of Waiver, School or student health service44D2225404
- Hardeman County Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic44D0867795
Related
Questions
What is the CLIA number for Y N Pakkala MD PC in Bolivar?
44D0694276, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Y N Pakkala MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0694276 expire?
The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.