44D2028024 CLIA NUMBER - SWAN UROGYNECOLOGY

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Laboratory Demographics

CLIA Number: 44D2028024

Facility Name: SWAN UROGYNECOLOGY

Facility Address:
329 21ST AVE N, SUITE 1
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 515-9180

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104105873

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	44D2028024
LAB Type	Physician Office
Facility Name	SWAN UROGYNECOLOGY
Street	329 21ST AVE N, SUITE 1
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 515-9180
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024