44D2269971 CLIA NUMBER - CROSSROADS URGENT CARE DBA ASCENSION SAINT THOMAS URGENT CARE

Laboratory Demographics

  • CLIA Code: 44D2269971
  • Facility Name: CROSSROADS URGENT CARE DBA ASCENSION SAINT THOMAS URGENT CARE
  • Facility Address: 4024 MT JULIET ROAD
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 257-2171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER INGRAHAM
  • NPI Number: 1265329163
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2269971
LAB Type Physician Office
Facility Name CROSSROADS URGENT CARE DBA ASCENSION SAINT THOMAS URGENT CARE
Street 4024 MT JULIET ROAD
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 257-2171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director CHRISTOPHER INGRAHAM

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