44D1027747 CLIA NUMBER - METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC

Laboratory Demographics

  • CLIA Code: 44D1027747
  • Facility Name: METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC
  • Facility Address: 2128 11TH AVENUE NORTH
    NASHVILLE, TN
    ZIP 37208
  • Facility Phone: 615 321-9791
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TERRY TERRELL
  • NPI Number: 1710206156
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1027747
LAB Type Community Clinic
Facility Name METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC
Street 2128 11TH AVENUE NORTH
City NASHVILLE
State TN
ZIP 37208
Phone 615 321-9791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Community Clinic
Lab Director TERRY TERRELL

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