44D0972384 CLIA NUMBER - GREEN SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 44D0972384
  • Facility Name: GREEN SURGERY CENTER LLC
  • Facility Address: 854 LONE OAK DRIVE
    GALLATIN, TN
    ZIP 37066
  • Facility Phone: 615 452-1602
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. GREEN MD
  • NPI Number: 1811090350
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0972384
LAB Type Ambulatory Surgery Center
Facility Name GREEN SURGERY CENTER LLC
Street 854 LONE OAK DRIVE
City GALLATIN
State TN
ZIP 37066
Phone 615 452-1602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL E. GREEN MD

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