44D0718861 CLIA NUMBER - BLOUNT GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 44D0718861
  • Facility Name: BLOUNT GASTROENTEROLOGY PC
  • Facility Address: 1714 E LAMAR ALEXANDER PKWY
    MARYVILLE, TN
    ZIP 37804
  • Facility Phone: 423 983-0073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. REBECCA L. FOUST
  • NPI Number: 1144286709
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0718861
LAB Type Physician Office
Facility Name BLOUNT GASTROENTEROLOGY PC
Street 1714 E LAMAR ALEXANDER PKWY
City MARYVILLE
State TN
ZIP 37804
Phone 423 983-0073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Physician Office
Lab Director DR. REBECCA L. FOUST

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