44D0309714 CLIA NUMBER - SEWANEE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0309714
  • Facility Name: SEWANEE FAMILY PRACTICE
  • Facility Address: 1314 UNIVERSITY AVE
    SEWANEE, TN
    ZIP 37375
  • Facility Phone: 931 598-5648
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LOUIS E. KOELLA
  • NPI Number: 1063817625
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0309714
LAB Type Physician Office
Facility Name SEWANEE FAMILY PRACTICE
Street 1314 UNIVERSITY AVE
City SEWANEE
State TN
ZIP 37375
Phone 931 598-5648
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 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director DR. LOUIS E. KOELLA

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