44D0311809 CLIA NUMBER - HOMETOWN PEDIATRIC MORRISTOWN MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0311809
  • Facility Name: HOMETOWN PEDIATRIC MORRISTOWN MEDICAL PRACTICE
  • Facility Address: 1817 W MORRIS BLVD
    MORRISTOWN, TN
    ZIP 37813
  • Facility Phone: 423 581-3904
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CASEY N. MOSS
  • NPI Number: 1679668388
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D0311809
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRIC MORRISTOWN MEDICAL PRACTICE
Street 1817 W MORRIS BLVD
City MORRISTOWN
State TN
ZIP 37813
Phone 423 581-3904
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director DR. CASEY N. MOSS

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