44D0309077 CLIA NUMBER - KENNETH HICKS MD

Laboratory Demographics

  • CLIA Code: 44D0309077
  • Facility Name: KENNETH HICKS MD
  • Facility Address: 1100 KERMIT DRIVE SUITE #106
    NASHVILLE, TN
    ZIP 37217
  • Facility Phone: 615 361-6953
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH HICKS
  • NPI Number: 1871573196
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0309077
LAB Type Physician Office
Facility Name KENNETH HICKS MD
Street 1100 KERMIT DRIVE SUITE #106
City NASHVILLE
State TN
ZIP 37217
Phone 615 361-6953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KENNETH HICKS

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