44D0954958 CLIA NUMBER - HIGHLANDS PATHOLOGY CONSULTANTS PC

Laboratory Demographics

  • CLIA Code: 44D0954958
  • Facility Name: HIGHLANDS PATHOLOGY CONSULTANTS PC
  • Facility Address: 130 WEST RAVINE ROAD
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 224-6711
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. EVAN L. KULBACKI
  • NPI Number: 1669458634
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0954958
LAB Type Independent
Facility Name HIGHLANDS PATHOLOGY CONSULTANTS PC
Street 130 WEST RAVINE ROAD
City KINGSPORT
State TN
ZIP 37660
Phone 423 224-6711
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director DR. EVAN L. KULBACKI

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: 9/29/2025