44D0310879 CLIA NUMBER - JAMES L DAVENPORT MD

Laboratory Demographics

  • CLIA Code: 44D0310879
  • Facility Name: JAMES L DAVENPORT MD
  • Facility Address: 306 PINE HILL RD
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: 423 542-4189
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES L. DAVENPORT MD
  • NPI Number: 1326106964
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0310879
LAB Type Physician Office
Facility Name JAMES L DAVENPORT MD
Street 306 PINE HILL RD
City ELIZABETHTON
State TN
ZIP 37643
Phone 423 542-4189
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director JAMES L. DAVENPORT MD

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