44D2315311 CLIA NUMBER - VANDERBILT DERMATOLOGY BELLE MEADE

Laboratory Demographics

  • CLIA Code: 44D2315311
  • Facility Name: VANDERBILT DERMATOLOGY BELLE MEADE
  • Facility Address: 90 WHITE BRIDGE ROAD
    NASHVILLE, TN
    ZIP 37205
  • Facility Phone: 615 936-1086
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOHN A. ZIC
  • NPI Number: 1902989445
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2315311
LAB Type Physician Office
Facility Name VANDERBILT DERMATOLOGY BELLE MEADE
Street 90 WHITE BRIDGE ROAD
City NASHVILLE
State TN
ZIP 37205
Phone 615 936-1086
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director DR. JOHN A. ZIC

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