44D2268647 CLIA NUMBER - SHALOM HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 44D2268647
  • Facility Name: SHALOM HOSPICE LLC
  • Facility Address: 5409 MARYLAND WAY, SUITE 212
    BRENTWOOD, TN
    ZIP 37027
  • Facility Phone: 615 623-8900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JUDITH GREY
  • NPI Number: 1023756285
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 44D2268647
LAB Type Hospice
Facility Name SHALOM HOSPICE LLC
Street 5409 MARYLAND WAY, SUITE 212
City BRENTWOOD
State TN
ZIP 37027
Phone 615 623-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Hospice
Lab Director JUDITH GREY

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