44D0986738 CLIA NUMBER - UROLOGY SURGERY CENTER LP

Laboratory Demographics

CLIA Number: 44D0986738

Facility Name: UROLOGY SURGERY CENTER LP

Facility Address:
2801 CHARLOTTE AVENUE
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 250-9314

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1073598066

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0986738
LAB Type	Ambulatory Surgery Center
Facility Name	UROLOGY SURGERY CENTER LP
Street	2801 CHARLOTTE AVENUE
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 250-9314
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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