44D2298170 CLIA NUMBER - ADVANCED CARE AND MEDSPA, LLC

Laboratory Demographics

  • CLIA Code: 44D2298170
  • Facility Name: ADVANCED CARE AND MEDSPA, LLC
  • Facility Address: 139 MAPLE ROW BLVD, SUITE 100
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 447-3981
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KALIE A. FAULKNER
  • NPI Number: 1861262537
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2298170
LAB Type Practitioner Other
Facility Name ADVANCED CARE AND MEDSPA, LLC
Street 139 MAPLE ROW BLVD, SUITE 100
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 447-3981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Practitioner Other
Lab Director KALIE A. FAULKNER

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