CLIA lab

CLIA 44D1097512: Premise Health of Tennessee Medical, PC

Portland, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 44D1097512 belongs to Premise Health of Tennessee Medical, PC in Portland, TN.

Certificate of Waiver, effective March 30, 2025, expires March 29, 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
March 30, 2025
Certificate expiration
March 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2009
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
44D1097512
Lab name
Premise Health of Tennessee Medical, PC
Address
201 Kirby Drive, Portland, TN 37148
Phone
(615) 229-7294
Fax
(615) 467-8869

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Premise Health of Tennessee Medical, PC in Portland?

44D1097512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of Tennessee Medical, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D1097512 expire?

The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.

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