44D2138733 CLIA NUMBER - GETHSEMANE CARDIOVASCULAR CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2138733
  • Facility Name: GETHSEMANE CARDIOVASCULAR CLINIC, PLLC
  • Facility Address: 1602 W NORTHFIELD BLVD SUITE 511
    MURFREESBORO, TN
    ZIP 37129
  • Facility Phone: 615 494-1245
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL A. JACKSON
  • NPI Number: 1407865785
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2138733
LAB Type Physician Office
Facility Name GETHSEMANE CARDIOVASCULAR CLINIC, PLLC
Street 1602 W NORTHFIELD BLVD SUITE 511
City MURFREESBORO
State TN
ZIP 37129
Phone 615 494-1245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director PAUL A. JACKSON

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