44D0918776 CLIA NUMBER - EAST TENNESSEE REGION DEPT OF HEALTH

Laboratory Demographics

CLIA Number: 44D0918776

Facility Name: EAST TENNESSEE REGION DEPT OF HEALTH

Facility Address:
2101 MEDICAL CENTER WAY 2ND FL
KNOXVILLE, TN
ZIP 37920
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Facility Phone Number: 865 546-9221

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1164535548

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	44D0918776
LAB Type	Public Health Laboratories
Facility Name	EAST TENNESSEE REGION DEPT OF HEALTH
Street	2101 MEDICAL CENTER WAY 2ND FL
City	KNOXVILLE
State	TN
ZIP	37920
Phone	865 546-9221
CertificateType	3
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024