44D0311385 CLIA NUMBER - ROANE COUNTY FAMILY PRACTICE DBA COVENANT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 44D0311385
  • Facility Name: ROANE COUNTY FAMILY PRACTICE DBA COVENANT MEDICAL GROUP
  • Facility Address: 1855 TANNER WAY, SUITE 200
    HARRIMAN, TN
    ZIP 37748
  • Facility Phone: 865 376-6272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RODNEY M. MCMILLIN
  • NPI Number: 1922215532
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 44D0311385
LAB Type Physician Office
Facility Name ROANE COUNTY FAMILY PRACTICE DBA COVENANT MEDICAL GROUP
Street 1855 TANNER WAY, SUITE 200
City HARRIMAN
State TN
ZIP 37748
Phone 865 376-6272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DR. RODNEY M. MCMILLIN

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