44D0309304 CLIA NUMBER - AJITKUMAR G KEMKAR MD

Laboratory Demographics

  • CLIA Code: 44D0309304
  • Facility Name: AJITKUMAR G KEMKAR MD
  • Facility Address: 2625 EXECUTIVE PARK
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 472-9341
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJITKUMAR G. KEMKAR MD
  • NPI Number: 1679505168
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0309304
LAB Type Physician Office
Facility Name AJITKUMAR G KEMKAR MD
Street 2625 EXECUTIVE PARK
City CLEVELAND
State TN
ZIP 37312
Phone 423 472-9341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AJITKUMAR G. KEMKAR MD

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