44D0975215 CLIA NUMBER - BLACKMON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D0975215
  • Facility Name: BLACKMON PEDIATRICS
  • Facility Address: 7714 CONNER ROAD, SUITE 101
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 212-6350
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ABIGAIL W. BLACKMON
  • NPI Number: 1437167194
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0975215
LAB Type Physician Office
Facility Name BLACKMON PEDIATRICS
Street 7714 CONNER ROAD, SUITE 101
City POWELL
State TN
ZIP 37849
Phone 865 212-6350
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director DR. ABIGAIL W. BLACKMON

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