44D0702747 CLIA NUMBER - SUMMIT MEDICAL GROUP-FARRAGUT

Laboratory Demographics

  • CLIA Code: 44D0702747
  • Facility Name: SUMMIT MEDICAL GROUP-FARRAGUT
  • Facility Address: 11808 KINGSTON PIKE, SUITE 160
    KNOXVILLE, TN
    ZIP 37934
  • Facility Phone: 865 966-9340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NATHAN A. GRAY
  • NPI Number: 1073546396
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0702747
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP-FARRAGUT
Street 11808 KINGSTON PIKE, SUITE 160
City KNOXVILLE
State TN
ZIP 37934
Phone 865 966-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director DR. NATHAN A. GRAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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