44D2154699 CLIA NUMBER - CENTENNIAL HEART, LLC

Laboratory Demographics

  • CLIA Code: 44D2154699
  • Facility Name: CENTENNIAL HEART, LLC
  • Facility Address: 397 WALLACE ROAD, SUITE 414
    NASHVILLE, TN
    ZIP 37211
  • Facility Phone: 615 333-0851
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FATHI ALI
  • NPI Number: 1710314554
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2154699
LAB Type Physician Office
Facility Name CENTENNIAL HEART, LLC
Street 397 WALLACE ROAD, SUITE 414
City NASHVILLE
State TN
ZIP 37211
Phone 615 333-0851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. FATHI ALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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