44D2309663 CLIA NUMBER - MONOGRAM HEALTH PROFESSIONAL SERVICES, PC

Laboratory Demographics

  • CLIA Code: 44D2309663
  • Facility Name: MONOGRAM HEALTH PROFESSIONAL SERVICES, PC
  • Facility Address: 5410 MARYLAND WAY, STE 400
    BRENTWOOD, TN
    ZIP 37027
  • Facility Phone: 480 716-4059
  • Facility Type: Other - IN HOME PATIENT CARE
  • Facility Type: Waiver
  • Lab Director: SHAMINDER GUPTA
  • NPI Number: 1033718093
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2309663
LAB Type Other - IN HOME PATIENT CARE
Facility Name MONOGRAM HEALTH PROFESSIONAL SERVICES, PC
Street 5410 MARYLAND WAY, STE 400
City BRENTWOOD
State TN
ZIP 37027
Phone 480 716-4059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - IN HOME PATIENT CARE
Lab Director SHAMINDER GUPTA

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