44D0938433 CLIA NUMBER - SOUTHERN WOMEN'S CARE

Laboratory Demographics

  • CLIA Code: 44D0938433
  • Facility Name: SOUTHERN WOMEN'S CARE
  • Facility Address: 5651 FRIST BLVD STE 201
    HERMITAGE, TN
    ZIP 37076
  • Facility Phone: 615 391-0800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE GOODMAN MD
  • NPI Number: 1225557408
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 44D0938433
LAB Type Physician Office
Facility Name SOUTHERN WOMEN'S CARE
Street 5651 FRIST BLVD STE 201
City HERMITAGE
State TN
ZIP 37076
Phone 615 391-0800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director BRUCE GOODMAN MD

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