44D1012797 CLIA NUMBER - CENTENNIAL HEART LLC

Laboratory Demographics

  • CLIA Code: 44D1012797
  • Facility Name: CENTENNIAL HEART LLC
  • Facility Address: 2400 PATTERSON STREET #502
    NASHVILLE, TN
    ZIP 37203
  • Facility Phone: 615 515-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOM S. JOHNSTON MD
  • NPI Number: 1104152859
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 44D1012797
LAB Type Physician Office
Facility Name CENTENNIAL HEART LLC
Street 2400 PATTERSON STREET #502
City NASHVILLE
State TN
ZIP 37203
Phone 615 515-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director TOM S. JOHNSTON MD

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