44D0881020 CLIA NUMBER - HOLSTON MEDICAL GROUP, PC DBA HMG-BRISTOL PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D0881020
  • Facility Name: HOLSTON MEDICAL GROUP, PC DBA HMG-BRISTOL PEDIATRIC ASSOCIATES
  • Facility Address: 320 BRISTOL WEST BLVD, SUITE 1B
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 968-2599
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JESSICA D. HOMMEL
  • NPI Number: 1164523825
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D0881020
LAB Type Physician Office
Facility Name HOLSTON MEDICAL GROUP, PC DBA HMG-BRISTOL PEDIATRIC ASSOCIATES
Street 320 BRISTOL WEST BLVD, SUITE 1B
City BRISTOL
State TN
ZIP 37620
Phone 423 968-2599
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director DR. JESSICA D. HOMMEL

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