44D0311488 CLIA NUMBER - SUMMIT MEDICAL GROUP OF CAMPBELL COUNTY MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0311488
  • Facility Name: SUMMIT MEDICAL GROUP OF CAMPBELL COUNTY MEDICAL PRACTICE
  • Facility Address: 2212 JACKSBORO PIKE
    LAFOLLETTE, TN
    ZIP 37766
  • Facility Phone: 423 566-8181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS W. ROBBINS
  • NPI Number: 1376622639
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0311488
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP OF CAMPBELL COUNTY MEDICAL PRACTICE
Street 2212 JACKSBORO PIKE
City LAFOLLETTE
State TN
ZIP 37766
Phone 423 566-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director DR. THOMAS W. ROBBINS

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