CLIA lab
CLIA 44D0921240: Grace Family Practice Clinic
Dyersburg, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0921240 belongs to Grace Family Practice Clinic in Dyersburg, TN.
Certificate of Waiver, effective December 15, 2025, expires December 14, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 15, 2025
- Certificate expiration
- December 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 1996
- Facility type
- Other practitioner
- 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
- 44D0921240
- Lab name
- Grace Family Practice Clinic
- Address
- 1937 Cook St, Dyersburg, TN 38024
- Phone
- (731) 288-0911
- Fax
- (731) 288-0065
Annual test volume the lab reported
- Waived tests
- 4,276
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Grace Family Practice Clinic in Dyersburg?
44D0921240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grace Family Practice Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0921240 expire?
The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.