44D0981241 CLIA NUMBER - JEFFREY S LODGE MD

Laboratory Demographics

  • CLIA Code: 44D0981241
  • Facility Name: JEFFREY S LODGE MD
  • Facility Address: 1642 WESTGATE CIRCLE STE 100
    BRENTWOOD, TN
    ZIP 37027
  • Facility Phone: 615 690-6600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JEFFREY S. LODGE
  • NPI Number: 1396726717
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 44D0981241
LAB Type Physician Office
Facility Name JEFFREY S LODGE MD
Street 1642 WESTGATE CIRCLE STE 100
City BRENTWOOD
State TN
ZIP 37027
Phone 615 690-6600
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 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director DR. JEFFREY S. LODGE

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