44D0902555 CLIA NUMBER - EAST TENNESSEE STATE UNIVERSITY DBA EAST TN STATE UNIVERSITY HANCOCK COUNTY MIDDLE HIGH SCHOOL BASE

Laboratory Demographics

  • CLIA Code: 44D0902555
  • Facility Name: EAST TENNESSEE STATE UNIVERSITY DBA EAST TN STATE UNIVERSITY HANCOCK COUNTY MIDDLE HIGH SCHOOL BASE
  • Facility Address: 2700 MAIN STREET PO BOX 723
    SNEEDVILLE, TN
    ZIP 37869
  • Facility Phone: 423 733-2819
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: AMANDA MOORHOUSE
  • NPI Number: 1205993045
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 44D0902555
LAB Type School/Student Health Service
Facility Name EAST TENNESSEE STATE UNIVERSITY DBA EAST TN STATE UNIVERSITY HANCOCK COUNTY MIDDLE HIGH SCHOOL BASE
Street 2700 MAIN STREET PO BOX 723
City SNEEDVILLE
State TN
ZIP 37869
Phone 423 733-2819
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 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type School/Student Health Service
Lab Director AMANDA MOORHOUSE

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