44D0923531 CLIA NUMBER - WATAUGA PATHOLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 44D0923531
  • Facility Name: WATAUGA PATHOLOGY ASSOCIATES PC
  • Facility Address: 1725 WEST MARKET STREET
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 431-1310
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. PATRICK N. COSTELLO
  • NPI Number: 1720053945
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0923531
LAB Type Hospital
Facility Name WATAUGA PATHOLOGY ASSOCIATES PC
Street 1725 WEST MARKET STREET
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 431-1310
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/27/2023
Certificate Expiration Date 4/26/2025
Facility Type Hospital
Lab Director DR. PATRICK N. COSTELLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025