44D2116191 CLIA NUMBER - CAPE SIERRA CLINIC LLC

Laboratory Demographics

  • CLIA Code: 44D2116191
  • Facility Name: CAPE SIERRA CLINIC LLC
  • Facility Address: 5630 NOLENSVILLE PIKE
    NASHVILLE, TN
    ZIP 37211
  • Facility Phone: 615 403-2463
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACQUELINE A. BANGURA
  • NPI Number: 1851759864
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2116191
LAB Type Physician Office
Facility Name CAPE SIERRA CLINIC LLC
Street 5630 NOLENSVILLE PIKE
City NASHVILLE
State TN
ZIP 37211
Phone 615 403-2463
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director JACQUELINE A. BANGURA

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