44D0957047 CLIA NUMBER - MOUNTAIN HOPE GOOD SHEPHERD CLINIC

Laboratory Demographics

  • CLIA Code: 44D0957047
  • Facility Name: MOUNTAIN HOPE GOOD SHEPHERD CLINIC
  • Facility Address: 2130 WINFIELD DUNN PARKWAY
    SEVIERVILLE, TN
    ZIP 37876
  • Facility Phone: 865 774-7684
  • Facility Type: Other - CHARITABLE CARE CLINIC
  • Facility Type: Microscopy
  • Lab Director: RICHARD DEW
  • NPI Number: 1477824241
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0957047
LAB Type Other - CHARITABLE CARE CLINIC
Facility Name MOUNTAIN HOPE GOOD SHEPHERD CLINIC
Street 2130 WINFIELD DUNN PARKWAY
City SEVIERVILLE
State TN
ZIP 37876
Phone 865 774-7684
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 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Other - CHARITABLE CARE CLINIC
Lab Director RICHARD DEW

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