44D0307243 CLIA NUMBER - BRADSHAW HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 44D0307243
  • Facility Name: BRADSHAW HEALTH, PLLC
  • Facility Address: 1420 W BADDOUR PKWY, STE 240
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 444-4126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NANCYE R. HALEY
  • NPI Number: 1699214437
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D0307243
LAB Type Physician Office
Facility Name BRADSHAW HEALTH, PLLC
Street 1420 W BADDOUR PKWY, STE 240
City LEBANON
State TN
ZIP 37087
Phone 615 444-4126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director DR. NANCYE R. HALEY

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