44D0918407 CLIA NUMBER - NORTHEAST TENN REGION DEPT OF HEALTH

Laboratory Demographics

  • CLIA Code: 44D0918407
  • Facility Name: NORTHEAST TENN REGION DEPT OF HEALTH
  • Facility Address: 185 TREASURE LANE
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 979-3200
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID L. KIRSCHKE
  • NPI Number: 1013991686
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0918407
LAB Type Public Health Laboratories
Facility Name NORTHEAST TENN REGION DEPT OF HEALTH
Street 185 TREASURE LANE
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 979-3200
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 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Public Health Laboratories
Lab Director DR. DAVID L. KIRSCHKE

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This page was last updated on: 6/4/2025