44D0993720 CLIA NUMBER - HOLSTON MEDICAL GROUP MEDICAL PLAZA FIFTH FLOOR LABORATORY

Laboratory Demographics

  • CLIA Code: 44D0993720
  • Facility Name: HOLSTON MEDICAL GROUP MEDICAL PLAZA FIFTH FLOOR LABORATORY
  • Facility Address: 105 WEST STONE DRIVE SUITE 5D
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 247-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTOPHER MITCHELL
  • NPI Number: 1831110667
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0993720
LAB Type Physician Office
Facility Name HOLSTON MEDICAL GROUP MEDICAL PLAZA FIFTH FLOOR LABORATORY
Street 105 WEST STONE DRIVE SUITE 5D
City KINGSPORT
State TN
ZIP 37660
Phone 423 247-7500
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 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER MITCHELL

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