44D2170502 CLIA NUMBER - CROSSROADS MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 44D2170502
  • Facility Name: CROSSROADS MEDICAL GROUP PLLC
  • Facility Address: 2239 HIGHWAY 41 SOUTH STE B
    GREENBRIER, TN
    ZIP 37073
  • Facility Phone: 615 672-7122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY SCOTT JORDAN
  • NPI Number: 1528249737
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 44D2170502
LAB Type Physician Office
Facility Name CROSSROADS MEDICAL GROUP PLLC
Street 2239 HIGHWAY 41 SOUTH STE B
City GREENBRIER
State TN
ZIP 37073
Phone 615 672-7122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director DR. JEFFREY SCOTT JORDAN

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