44D0311719 CLIA NUMBER - CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE

Laboratory Demographics

  • CLIA Code: 44D0311719
  • Facility Name: CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE
  • Facility Address: 4330 MAYNARDVILLE HWY
    MAYNARDVILLE, TN
    ZIP 37807
  • Facility Phone: 865 992-3849
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: HAL MONCIER MD
  • NPI Number: 1487891594
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0311719
LAB Type Community Clinic
Facility Name CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE
Street 4330 MAYNARDVILLE HWY
City MAYNARDVILLE
State TN
ZIP 37807
Phone 865 992-3849
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director HAL MONCIER MD

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This page was last updated on: 6/4/2025