44D0311981 CLIA NUMBER - OAK RIDGE GASTROENTEROLOGY ASSOC PC

Laboratory Demographics

  • CLIA Code: 44D0311981
  • Facility Name: OAK RIDGE GASTROENTEROLOGY ASSOC PC
  • Facility Address: 988 OAK RIDGE TPKE 200
    OAK RIDGE, TN
    ZIP 37830
  • Facility Phone: 423 483-4366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH F. LUCKMANN MD
  • NPI Number: 1710475660
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D0311981
LAB Type Physician Office
Facility Name OAK RIDGE GASTROENTEROLOGY ASSOC PC
Street 988 OAK RIDGE TPKE 200
City OAK RIDGE
State TN
ZIP 37830
Phone 423 483-4366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director KENNETH F. LUCKMANN MD

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