44D2125838 CLIA NUMBER - HERITAGE MEDICAL ASSOCIATES DBA DR WIERUM

Laboratory Demographics

  • CLIA Code: 44D2125838
  • Facility Name: HERITAGE MEDICAL ASSOCIATES DBA DR WIERUM
  • Facility Address: 222 22ND AVENUE NORTH 3RD FLOOR POD 2
    NASHVILLE, TN
    ZIP 37203
  • Facility Phone: 615 324-1204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES DAILEY
  • NPI Number: 1720042021
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 44D2125838
LAB Type Physician Office
Facility Name HERITAGE MEDICAL ASSOCIATES DBA DR WIERUM
Street 222 22ND AVENUE NORTH 3RD FLOOR POD 2
City NASHVILLE
State TN
ZIP 37203
Phone 615 324-1204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director CHARLES DAILEY

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