44D0970416 CLIA NUMBER - ROBERT P GRAHAM JR MD

Laboratory Demographics

  • CLIA Code: 44D0970416
  • Facility Name: ROBERT P GRAHAM JR MD
  • Facility Address: 300 20TH AVENUE N, SUITE 500
    NASHVILLE, TN
    ZIP 37203
  • Facility Phone: 615 321-0032
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT P. GRAHAM JR MD
  • NPI Number: 1346654563
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D0970416
LAB Type Physician Office
Facility Name ROBERT P GRAHAM JR MD
Street 300 20TH AVENUE N, SUITE 500
City NASHVILLE
State TN
ZIP 37203
Phone 615 321-0032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director ROBERT P. GRAHAM JR MD

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