Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
25D2309425
|
|
Clinical laboratory number
|
|
Lab Name
|
PROGRESSIVE HEALTH NISSAN CANTON
|
|
Laboratory Name
|
|
Lab Type
|
Industrial
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
615-830-4081
|
|
Laboratory telephone number
|
|
Fax
|
615-682-1365
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
300 NISSAN DRIVE, MEDICAL OFFICE A-58
|
|
Primary location adress line
|
|
City
|
CANTON
|
|
Primary location city name
|
|
State
|
MS
|
|
Primary location state name
|
|
Zip
|
39046
|
|
Primary location postal code
|