44D2277685 CLIA NUMBER - SELAH HOUSE OUTPATIENT NASHVILLE

Laboratory Demographics

  • CLIA Code: 44D2277685
  • Facility Name: SELAH HOUSE OUTPATIENT NASHVILLE
  • Facility Address: 2900 VANDERBILT PLACE, SUITE 200
    NASHVILLE, TN
    ZIP 37212
  • Facility Phone: 615 434-2152
  • Facility Type: Other - EASTING DISORDER FACILITY
  • Facility Type: Waiver
  • Lab Director: AMBER R. LUCCHINO
  • NPI Number: 1891367736
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2277685
LAB Type Other - EASTING DISORDER FACILITY
Facility Name SELAH HOUSE OUTPATIENT NASHVILLE
Street 2900 VANDERBILT PLACE, SUITE 200
City NASHVILLE
State TN
ZIP 37212
Phone 615 434-2152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other - EASTING DISORDER FACILITY
Lab Director AMBER R. LUCCHINO

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