44D1068532 CLIA NUMBER - CUMBERLAND SKIN SURGERY & DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 44D1068532
  • Facility Name: CUMBERLAND SKIN SURGERY & DERMATOLOGY
  • Facility Address: 107 GLIDEPATH WAY
    LEBANON, TN
    ZIP 37090
  • Facility Phone: 615 449-5771
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JULIE M. COUNTESS
  • NPI Number: 1720256597
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1068532
LAB Type Physician Office
Facility Name CUMBERLAND SKIN SURGERY & DERMATOLOGY
Street 107 GLIDEPATH WAY
City LEBANON
State TN
ZIP 37090
Phone 615 449-5771
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 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director DR. JULIE M. COUNTESS

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