44D2013030 CLIA NUMBER - TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER DBA ADVANCED DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 44D2013030
  • Facility Name: TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER DBA ADVANCED DIAGNOSTIC IMAGING
  • Facility Address: 102 WESSINGTON PLACE
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 822-2214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLYDE O. SOUTHWELL
  • NPI Number: 1013182260
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2013030
LAB Type Physician Office
Facility Name TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER DBA ADVANCED DIAGNOSTIC IMAGING
Street 102 WESSINGTON PLACE
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 822-2214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director DR. CLYDE O. SOUTHWELL

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