44D0027947 CLIA NUMBER - CROSSROADS MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 44D0027947
  • Facility Name: CROSSROADS MEDICAL GROUP, PLLC
  • Facility Address: 3500 N MT JULIET RD STE 201
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 672-7122
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BERNARD PARE
  • NPI Number: 1053584953
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D0027947
LAB Type Physician Office
Facility Name CROSSROADS MEDICAL GROUP, PLLC
Street 3500 N MT JULIET RD STE 201
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 672-7122
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DR. BERNARD PARE

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