44D0309974 CLIA NUMBER - MICHAEL W GOODMAN MD PC

Laboratory Demographics

  • CLIA Code: 44D0309974
  • Facility Name: MICHAEL W GOODMAN MD PC
  • Facility Address: 979 E 3RD STREET SUITE C-0630
    CHATTANOOGA, TN
    ZIP 37403
  • Facility Phone: 423 267-5677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. GOODMAN
  • NPI Number: 1427555309
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 44D0309974
LAB Type Physician Office
Facility Name MICHAEL W GOODMAN MD PC
Street 979 E 3RD STREET SUITE C-0630
City CHATTANOOGA
State TN
ZIP 37403
Phone 423 267-5677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director DR. MICHAEL W. GOODMAN

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