44D0992563 CLIA NUMBER - BRISTOL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D0992563
  • Facility Name: BRISTOL SURGERY CENTER
  • Facility Address: 350 BLOUNTVILLE HWY, SUITE 108
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 844-6120
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS L. WHITMAN
  • NPI Number: 1013964063
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0992563
LAB Type Ambulatory Surgery Center
Facility Name BRISTOL SURGERY CENTER
Street 350 BLOUNTVILLE HWY, SUITE 108
City BRISTOL
State TN
ZIP 37620
Phone 423 844-6120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS L. WHITMAN

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