44D0712509 CLIA NUMBER - HOLSTON MEDICAL GROUP PC DBA SAPLING GROVE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0712509
  • Facility Name: HOLSTON MEDICAL GROUP PC DBA SAPLING GROVE FAMILY PRACTICE
  • Facility Address: 240 MEDICAL PARK BLVD, SUITE 3000
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 990-2402
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHEN M. BURKE
  • NPI Number: 1295453652
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D0712509
LAB Type Physician Office
Facility Name HOLSTON MEDICAL GROUP PC DBA SAPLING GROVE FAMILY PRACTICE
Street 240 MEDICAL PARK BLVD, SUITE 3000
City BRISTOL
State TN
ZIP 37620
Phone 423 990-2402
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. STEPHEN M. BURKE

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