44D0860533 CLIA NUMBER - EAST TENNESSEE STATE UNIVERSITY DBA EAST TENNESSEE STATE UNIVERSITY MOUNTAIN CITY

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CLIA Record

Field Name Field Value
CLIA Number 44D0860533
LAB Type Rural Health Clinic
Facility Name EAST TENNESSEE STATE UNIVERSITY DBA EAST TENNESSEE STATE UNIVERSITY MOUNTAIN CITY
Street 1901 SOUTH SHADY STREET
City MOUNTAIN CITY
State TN
ZIP 37683
Phone 423 727-1150
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 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Rural Health Clinic
Lab Director AMANDA D. CORNETT

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