44D2288535 CLIA NUMBER - DICKSON AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D2288535
  • Facility Name: DICKSON AMBULATORY SURGERY CENTER
  • Facility Address: 123 CRESTVIEW PARK DRIVE
    DICKSON, TN
    ZIP 37055
  • Facility Phone: 615 446-1369
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EHAB KASASBEH
  • NPI Number: 1851039275
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2288535
LAB Type Ambulatory Surgery Center
Facility Name DICKSON AMBULATORY SURGERY CENTER
Street 123 CRESTVIEW PARK DRIVE
City DICKSON
State TN
ZIP 37055
Phone 615 446-1369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Ambulatory Surgery Center
Lab Director EHAB KASASBEH

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