44D2081585 CLIA NUMBER - THE BRIDGE AT HICKORY WOODS

Laboratory Demographics

CLIA Code: 44D2081585
Facility Name: THE BRIDGE AT HICKORY WOODS
Facility Address: 4220 MURFREESBORO RD
ANTIOCH, TN
ZIP 37013
Facility Phone: 615 501-0270
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: SARA OSTHEIMER
NPI Number: 1497114599
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	44D2081585
LAB Type	Assisted Living Facility
Facility Name	THE BRIDGE AT HICKORY WOODS
Street	4220 MURFREESBORO RD
City	ANTIOCH
State	TN
ZIP	37013
Phone	615 501-0270
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/28/2024
Certificate Expiration Date	7/27/2026
Facility Type	Assisted Living Facility
Lab Director	SARA OSTHEIMER

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This page was last updated on: 3/20/2025