44D1019539 CLIA NUMBER - BRENTWOOD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 44D1019539
  • Facility Name: BRENTWOOD DERMATOLOGY
  • Facility Address: 343 FRANKLIN ROAD, SUITE 202
    BRENTWOOD, TN
    ZIP 37027
  • Facility Phone: 615 377-3448
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KIRA MAYO
  • NPI Number: 1841409323
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1019539
LAB Type Physician Office
Facility Name BRENTWOOD DERMATOLOGY
Street 343 FRANKLIN ROAD, SUITE 202
City BRENTWOOD
State TN
ZIP 37027
Phone 615 377-3448
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director DR. KIRA MAYO

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