44D2158308 CLIA NUMBER - CENTENNIAL WOMEN'S GROUP

Laboratory Demographics

  • CLIA Code: 44D2158308
  • Facility Name: CENTENNIAL WOMEN'S GROUP
  • Facility Address: 330 23RD AVE N SUITE 250
    NASHVILLE, TN
    ZIP 37203
  • Facility Phone: 615 342-6880
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. NICOLE HEIDEMANN
  • NPI Number: 1558801332
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2158308
LAB Type Physician Office
Facility Name CENTENNIAL WOMEN'S GROUP
Street 330 23RD AVE N SUITE 250
City NASHVILLE
State TN
ZIP 37203
Phone 615 342-6880
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director DR. NICOLE HEIDEMANN

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