44D2210042 CLIA NUMBER - FC TN PLLC

Laboratory Demographics

CLIA Number: 44D2210042

Facility Name: FC TN PLLC

Facility Address:
4560 TROUSDALE DRIVE STE 100
NASHVILLE, TN
ZIP 37204
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Facility Phone Number: 615 913-8550

Facility Type: Other - URGENT CARE/WALK IN8

Certificate Type: Waiver

NPI Number: 1457936858

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	44D2210042
LAB Type	Other - URGENT CARE/WALK IN8
Facility Name	FC TN PLLC
Street	4560 TROUSDALE DRIVE STE 100
City	NASHVILLE
State	TN
ZIP	37204
Phone	615 913-8550
CertificateType	4
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024