44D2272025 CLIA NUMBER - 360 DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 44D2272025
  • Facility Name: 360 DERMATOLOGY, PC
  • Facility Address: 2001 MALLORY LANE, SUITE 207
    FRANKLIN, TN
    ZIP 37067
  • Facility Phone: 615 200-8659
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. NASHAY N. CLEMETSON
  • NPI Number: 1891432159
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 44D2272025
LAB Type Physician Office
Facility Name 360 DERMATOLOGY, PC
Street 2001 MALLORY LANE, SUITE 207
City FRANKLIN
State TN
ZIP 37067
Phone 615 200-8659
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. NASHAY N. CLEMETSON

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