44D1000202 CLIA NUMBER - ST THOMAS SURGICARE MEDICAL PLAZA EAST #300

Laboratory Demographics

CLIA Number: 44D1000202

Facility Name: ST THOMAS SURGICARE MEDICAL PLAZA EAST #300

Facility Address:
4230 HARDING ROAD
NASHVILLE, TN
ZIP 37205
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Facility Phone Number: 615 783-1260

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1922106285

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 44D1000202
LAB Type Ambulatory Surgery Center
Facility Name ST THOMAS SURGICARE MEDICAL PLAZA EAST #300
Street 4230 HARDING ROAD
City NASHVILLE
State TN
ZIP 37205
Phone 615 783-1260
CertificateType 4
CertificateEffectiveDate 6/5/2022
CertificateExpirationDate 6/4/2024
FacilityType Waiver

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