44D0311363 CLIA NUMBER - SUMMIT FAMILY MEDICINE / OCCUPATIONAL HEALTH SRVC

Laboratory Demographics

  • CLIA Code: 44D0311363
  • Facility Name: SUMMIT FAMILY MEDICINE / OCCUPATIONAL HEALTH SRVC
  • Facility Address: 5000 MONARCH PT
    GREENEVILLE, TN
    ZIP 37745
  • Facility Phone: 423 639-2161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAIME G. OAKLEY MD
  • NPI Number: 1932288594
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0311363
LAB Type Physician Office
Facility Name SUMMIT FAMILY MEDICINE / OCCUPATIONAL HEALTH SRVC
Street 5000 MONARCH PT
City GREENEVILLE
State TN
ZIP 37745
Phone 423 639-2161
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 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director JAIME G. OAKLEY MD

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