44D0898724 CLIA NUMBER - MOUNTAIN BEND MEDICAL ASSOCIATES DBA MOUNTAIN BEND MEDICAL ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 44D0898724
  • Facility Name: MOUNTAIN BEND MEDICAL ASSOCIATES DBA MOUNTAIN BEND MEDICAL ASSOCIATES PLLC
  • Facility Address: 15166 RANKIN AVE N
    DUNLAP, TN
    ZIP 37327
  • Facility Phone: 423 949-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMANTHA GRAHAM
  • NPI Number: 1508050717
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0898724
LAB Type Physician Office
Facility Name MOUNTAIN BEND MEDICAL ASSOCIATES DBA MOUNTAIN BEND MEDICAL ASSOCIATES PLLC
Street 15166 RANKIN AVE N
City DUNLAP
State TN
ZIP 37327
Phone 423 949-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director SAMANTHA GRAHAM

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