44D1065557 CLIA NUMBER - CROSSROADS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 44D1065557
  • Facility Name: CROSSROADS SURGERY CENTER LLC
  • Facility Address: 1805 WILLIAMSON COURT SUITE #200
    BRENTWOOD, TN
    ZIP 37027
  • Facility Phone: 615 331-5536
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN C. NWOFIA
  • NPI Number: 1174955116
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1065557
LAB Type Ambulatory Surgery Center
Facility Name CROSSROADS SURGERY CENTER LLC
Street 1805 WILLIAMSON COURT SUITE #200
City BRENTWOOD
State TN
ZIP 37027
Phone 615 331-5536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN C. NWOFIA

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