44D2292996 CLIA NUMBER - VANDERBILT UROLOGY TULLAHOMA

Laboratory Demographics

  • CLIA Code: 44D2292996
  • Facility Name: VANDERBILT UROLOGY TULLAHOMA
  • Facility Address: 1440 CEDAR LANE, SUITE 300
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 393-7056
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN V. RICHIER
  • NPI Number: 1417543646
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2292996
LAB Type Physician Office
Facility Name VANDERBILT UROLOGY TULLAHOMA
Street 1440 CEDAR LANE, SUITE 300
City TULLAHOMA
State TN
ZIP 37388
Phone 931 393-7056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director JOHN V. RICHIER

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