44D0705704 CLIA NUMBER - CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 44D0705704
  • Facility Name: CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER
  • Facility Address: 880 RUTLEDGE PIKE
    BLAINE, TN
    ZIP 37709
  • Facility Phone: 865 933-4110
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. LAURA BRUDECKI
  • NPI Number: 1336386440
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0705704
LAB Type Federally Qualified Health Center
Facility Name CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER
Street 880 RUTLEDGE PIKE
City BLAINE
State TN
ZIP 37709
Phone 865 933-4110
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 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Federally Qualified Health Center
Lab Director DR. LAURA BRUDECKI

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