44D0935711 CLIA NUMBER - BAPTIST AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 44D0935711

Facility Name: BAPTIST AMBULATORY SURGERY CENTER

Facility Address:
312 21ST AVENUE NORTH
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 321-7330

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1427017987

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0935711
LAB Type	Ambulatory Surgery Center
Facility Name	BAPTIST AMBULATORY SURGERY CENTER
Street	312 21ST AVENUE NORTH
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 321-7330
CertificateType	4
CertificateEffectiveDate	5/15/2023
CertificateExpirationDate	5/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024