44D2324410 CLIA NUMBER - TENNESSEE ONCOLOGY-ELLISTON PLACE CENTRAL LAB

Laboratory Demographics

  • CLIA Code: 44D2324410
  • Facility Name: TENNESSEE ONCOLOGY-ELLISTON PLACE CENTRAL LAB
  • Facility Address: 322 22ND AVENUE NORTH, SUITE 130
    NASHVILLE, TN
    ZIP 37203
  • Facility Phone: 615 986-4317
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DOUGLAS W. KINGMA
  • NPI Number: 1245006485
  • Taxonomy: 207RH0003X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2324410
LAB Type Physician Office
Facility Name TENNESSEE ONCOLOGY-ELLISTON PLACE CENTRAL LAB
Street 322 22ND AVENUE NORTH, SUITE 130
City NASHVILLE
State TN
ZIP 37203
Phone 615 986-4317
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS W. KINGMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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