44D2137755 CLIA NUMBER - ADVANCED FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 44D2137755
  • Facility Name: ADVANCED FAMILY MEDICAL CLINIC
  • Facility Address: 211 DONELSON PIKE STE 113
    NASHVILLE, TN
    ZIP 37214
  • Facility Phone: 615 306-1626
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TRINA D. CORLEY
  • NPI Number: 1548403397
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2137755
LAB Type Practitioner Other
Facility Name ADVANCED FAMILY MEDICAL CLINIC
Street 211 DONELSON PIKE STE 113
City NASHVILLE
State TN
ZIP 37214
Phone 615 306-1626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Practitioner Other
Lab Director TRINA D. CORLEY

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