44D2115744 CLIA NUMBER - CROSSROADS MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 44D2115744
  • Facility Name: CROSSROADS MEDICAL GROUP, PLLC
  • Facility Address: 900 CONFERENCE DR SUITE 1-C
    GOODLETTSVILLE, TN
    ZIP 37072
  • Facility Phone: 615 672-7122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. JORDAN
  • NPI Number: 1437938248
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2115744
LAB Type Physician Office
Facility Name CROSSROADS MEDICAL GROUP, PLLC
Street 900 CONFERENCE DR SUITE 1-C
City GOODLETTSVILLE
State TN
ZIP 37072
Phone 615 672-7122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director JEFFREY S. JORDAN

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