44D2121226 CLIA NUMBER - MT JULIET DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2121226
  • Facility Name: MT JULIET DIALYSIS
  • Facility Address: 1050 HERSCHEL DRIVE
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 758-1970
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER SANTANA
  • NPI Number: 1407247380
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2121226
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MT JULIET DIALYSIS
Street 1050 HERSCHEL DRIVE
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 758-1970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JENNIFER SANTANA

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