44D0311095 CLIA NUMBER - MOUNTAIN REGION FAMILY MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 44D0311095
  • Facility Name: MOUNTAIN REGION FAMILY MEDICINE, PC
  • Facility Address: 444 CLINCHFIELD STREET, SUITE 2300
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 433-6610
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRUCE C. WINEGAR
  • NPI Number: 1972147437
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0311095
LAB Type Physician Office
Facility Name MOUNTAIN REGION FAMILY MEDICINE, PC
Street 444 CLINCHFIELD STREET, SUITE 2300
City KINGSPORT
State TN
ZIP 37660
Phone 423 433-6610
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director DR. BRUCE C. WINEGAR

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