44D0312411 CLIA NUMBER - SUMMIT MEDICAL GROUP/FORT SANDERS

Laboratory Demographics

  • CLIA Code: 44D0312411
  • Facility Name: SUMMIT MEDICAL GROUP/FORT SANDERS
  • Facility Address: 1819 CLINCH AVE STE 114
    KNOXVILLE, TN
    ZIP 37916
  • Facility Phone: (865) 524-1631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KELLY L. BAKER
  • NPI Number: 1275824658
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0312411
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP/FORT SANDERS
Street 1819 CLINCH AVE STE 114
City KNOXVILLE
State TN
ZIP 37916
Phone 8655241631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2026
Certificate Expiration Date 2/26/2028
Facility Type Physician Office
Lab Director DR. KELLY L. BAKER

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This page was last updated on: 5/15/2026