44D2200881 CLIA NUMBER - BLUESKY HOUSECALLS

Laboratory Demographics

  • CLIA Code: 44D2200881
  • Facility Name: BLUESKY HOUSECALLS
  • Facility Address: 1601 17TH AVE S
    NASHVILLE, TN
    ZIP 37212
  • Facility Phone: 615 340-6840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRUCE WALLSTEDT
  • NPI Number: 1073986410
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2200881
LAB Type Physician Office
Facility Name BLUESKY HOUSECALLS
Street 1601 17TH AVE S
City NASHVILLE
State TN
ZIP 37212
Phone 615 340-6840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DR. BRUCE WALLSTEDT

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