44D1063151 CLIA NUMBER - MADISON RESIDENTIAL LLC D/B/A HICKORY GARDENS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 44D1063151
  • Facility Name: MADISON RESIDENTIAL LLC D/B/A HICKORY GARDENS ASSISTED LIVING
  • Facility Address: 527 W OLD HICKORY BLVD
    MADISON, TN
    ZIP 37115
  • Facility Phone: 615 865-0527
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JANEL L. PITTMAN
  • NPI Number: 1851334528
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D1063151
LAB Type Other
Facility Name MADISON RESIDENTIAL LLC D/B/A HICKORY GARDENS ASSISTED LIVING
Street 527 W OLD HICKORY BLVD
City MADISON
State TN
ZIP 37115
Phone 615 865-0527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other
Lab Director JANEL L. PITTMAN

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