44D0983360 CLIA NUMBER - TRI-CITIES GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 44D0983360
  • Facility Name: TRI-CITIES GASTROENTEROLOGY
  • Facility Address: 2333 KNOB CREEK ROAD SUITE 15
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 854-5832
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. FRY MD
  • NPI Number: 1487782652
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D0983360
LAB Type Physician Office
Facility Name TRI-CITIES GASTROENTEROLOGY
Street 2333 KNOB CREEK ROAD SUITE 15
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 854-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director STEPHEN W. FRY MD

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