44D0311980 CLIA NUMBER - SUMMIT MEDICAL GROUP OF OAK RIDGE

Laboratory Demographics

  • CLIA Code: 44D0311980
  • Facility Name: SUMMIT MEDICAL GROUP OF OAK RIDGE
  • Facility Address: 850 BRIARCLIFF AVE
    OAK RIDGE, TN
    ZIP 37830
  • Facility Phone: 865 483-3172
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL ALLEN HENDERSON
  • NPI Number: 1437238797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0311980
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP OF OAK RIDGE
Street 850 BRIARCLIFF AVE
City OAK RIDGE
State TN
ZIP 37830
Phone 865 483-3172
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 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director MICHAEL ALLEN HENDERSON

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