44D2152963 CLIA NUMBER - VANDERBILT UNIVERSITY MEDICAL CENTER DBA VANDERBILT VASCULAR SURGERY CLARKSVILLE

Laboratory Demographics

  • CLIA Code: 44D2152963
  • Facility Name: VANDERBILT UNIVERSITY MEDICAL CENTER DBA VANDERBILT VASCULAR SURGERY CLARKSVILLE
  • Facility Address: 647 DUNLOP LANE STE 100
    CLARKSVILLE, TN
    ZIP 37040
  • Facility Phone: (931) 551-8991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGIO E. SASTRIQUES-DUNLOP

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CLIA Record

Field Name Field Value
CLIA Number 44D2152963
LAB Type Physician Office
Facility Name VANDERBILT UNIVERSITY MEDICAL CENTER DBA VANDERBILT VASCULAR SURGERY CLARKSVILLE
Street 647 DUNLOP LANE STE 100
City CLARKSVILLE
State TN
ZIP 37040
Phone 9315518991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director SERGIO E. SASTRIQUES-DUNLOP

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This page was last updated on: 5/18/2026