44D0939787 CLIA NUMBER - POWELL FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 44D0939787
  • Facility Name: POWELL FAMILY PHYSICIANS
  • Facility Address: 2125 W EMORY RD
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 938-7517
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK W. JOHNSON MD
  • NPI Number: 1669135646
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0939787
LAB Type Physician Office
Facility Name POWELL FAMILY PHYSICIANS
Street 2125 W EMORY RD
City POWELL
State TN
ZIP 37849
Phone 865 938-7517
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 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director MARK W. JOHNSON MD

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