44D1009211 CLIA NUMBER - AMBULATORY SURGICAL ASOCIATES LLC

Laboratory Demographics

  • CLIA Code: 44D1009211
  • Facility Name: AMBULATORY SURGICAL ASOCIATES LLC
  • Facility Address: 725 KINGS LANE
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 455-1976
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT CRAIG COLLIER MD
  • NPI Number: 1356307565
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1009211
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY SURGICAL ASOCIATES LLC
Street 725 KINGS LANE
City TULLAHOMA
State TN
ZIP 37388
Phone 931 455-1976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT CRAIG COLLIER MD

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