44D0028489 CLIA NUMBER - WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 44D0028489
  • Facility Name: WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER
  • Facility Address: 130 WEST RAVINE STREET
    KINGSPORT, TN
    ZIP 37662
  • Facility Phone: 423 224-6434
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. WAEL EL-MINAOUI
  • NPI Number: 1982634440
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0028489
LAB Type Hospital
Facility Name WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER
Street 130 WEST RAVINE STREET
City KINGSPORT
State TN
ZIP 37662
Phone 423 224-6434
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Hospital
Lab Director DR. WAEL EL-MINAOUI

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This page was last updated on: 3/20/2025