CLIA lab
CLIA 44D0909840: Forrest Kenton Busch DO PC
Dyersburg, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0909840 belongs to Forrest Kenton Busch DO PC in Dyersburg, TN.
Certificate of Waiver, effective August 21, 2025, expires August 20, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 1995
- 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
- 44D0909840
- Lab name
- Forrest Kenton Busch DO PC
- Additional name
- DBA Dyersburg Skin Clinic & Urgent Care Clinic
- Address
- 1950 Cook St Ste A & B, Dyersburg, TN 38024
- Phone
- (731) 286-4300
- Fax
- (731) 286-8008
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dyersburg, TN
- Air Evac 75Certificate of Waiver, Ambulance44D1087816
- BHG Xxxi, LLCCertificate of Waiver, Other44D2072141
- Baptist Memorial Hospital Tipton-DyersburgCertificate of Accreditation, Other44D2274460
- Better Health Family Clinic IncCertificate of Waiver, Physician office44D2330156
- Bright Blue at Tyson NewbernCertificate of Waiver, Other44D2214995
- Cape Surgery Center LLCCertificate of Waiver, Ambulatory surgery center44D1050396
- Care Rite PLLCCertificate of Waiver, Physician office44D2036174
- Delta Clinics, PLCCertificate of Waiver, Physician office44D1056342
- Dyersburg Family Walk-In Clinic, LLCCertificate of Compliance, Physician office44D2076179
- Dyersburg HealthCertificate of Accreditation, Hospital44D0313396
Related
Questions
What is the CLIA number for Forrest Kenton Busch DO PC in Dyersburg?
44D0909840, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forrest Kenton Busch DO PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0909840 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.