44D0878640 CLIA NUMBER - GALEN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 44D0878640
  • Facility Name: GALEN MEDICAL GROUP
  • Facility Address: 2200 E 3RD STREET, SUITE 200
    CHATTANOOGA, TN
    ZIP 37404
  • Facility Phone: 423 643-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUMEET BHUSHAN
  • NPI Number: 1891248092
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 44D0878640
LAB Type Physician Office
Facility Name GALEN MEDICAL GROUP
Street 2200 E 3RD STREET, SUITE 200
City CHATTANOOGA
State TN
ZIP 37404
Phone 423 643-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director SUMEET BHUSHAN

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