44D0871248 CLIA NUMBER - PARK MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 44D0871248
  • Facility Name: PARK MEDICAL, LLC
  • Facility Address: 13851 HWY 28
    WHITWELL, TN
    ZIP 37397
  • Facility Phone: 423 658-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLIE FANG
  • NPI Number: 1477627768
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0871248
LAB Type Physician Office
Facility Name PARK MEDICAL, LLC
Street 13851 HWY 28
City WHITWELL
State TN
ZIP 37397
Phone 423 658-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director CHARLIE FANG

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