44D2307124 CLIA NUMBER - MID TN CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2307124
  • Facility Name: MID TN CLINIC, PLLC
  • Facility Address: 3413 NOLENSVILLE PIKE
    NASHVILLE, TN
    ZIP 37211
  • Facility Phone: 615 569-4067
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BOLA S. GABRIEL
  • NPI Number: 1154179950
  • Taxonomy: 364SA2100X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2307124
LAB Type Practitioner Other
Facility Name MID TN CLINIC, PLLC
Street 3413 NOLENSVILLE PIKE
City NASHVILLE
State TN
ZIP 37211
Phone 615 569-4067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Practitioner Other
Lab Director BOLA S. GABRIEL

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