44D1101883 CLIA NUMBER - PLATEAU SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 44D1101883
  • Facility Name: PLATEAU SURGERY CENTER, LLC
  • Facility Address: 57 FAIRFIELD BLVD
    CROSSVILLE, TN
    ZIP 38558
  • Facility Phone: 931 484-3344
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEWART M. GALLOWAY
  • NPI Number: 1952535502
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1101883
LAB Type Ambulatory Surgery Center
Facility Name PLATEAU SURGERY CENTER, LLC
Street 57 FAIRFIELD BLVD
City CROSSVILLE
State TN
ZIP 38558
Phone 931 484-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Ambulatory Surgery Center
Lab Director STEWART M. GALLOWAY

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