44D2131478 CLIA NUMBER - WOODBINE DIALYSIS

Laboratory Demographics

CLIA Number: 44D2131478

Facility Name: WOODBINE DIALYSIS

Facility Address:
5209 LINBAR DRIVE SUITE 605
NASHVILLE, TN
ZIP 37211
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Facility Phone Number: 615 333-9765

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1003362294

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2131478
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WOODBINE DIALYSIS
Street	5209 LINBAR DRIVE SUITE 605
City	NASHVILLE
State	TN
ZIP	37211
Phone	615 333-9765
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024