44D1078548 CLIA NUMBER - LEBANON ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 44D1078548
  • Facility Name: LEBANON ENDOSCOPY CENTER LLC
  • Facility Address: 100 PHYSICIANS WAY, SUITE 340
    LEBANON, TN
    ZIP 37090
  • Facility Phone: 615 466-9532
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. BRETT INGLIS
  • NPI Number: 1326142878
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1078548
LAB Type Ambulatory Surgery Center
Facility Name LEBANON ENDOSCOPY CENTER LLC
Street 100 PHYSICIANS WAY, SUITE 340
City LEBANON
State TN
ZIP 37090
Phone 615 466-9532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. BRETT INGLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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