44D1002113 CLIA NUMBER - SHULTS PEDIATRICS A DIVISION OF SUMMIT MED GROUP DBA SHULTS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D1002113
  • Facility Name: SHULTS PEDIATRICS A DIVISION OF SUMMIT MED GROUP DBA SHULTS PEDIATRICS
  • Facility Address: 9142 S NORTHSHORE DR
    KNOXVILLE, TN
    ZIP 37922
  • Facility Phone: 865 670-1560
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHANIE S. SHULTS
  • NPI Number: 1326551797
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1002113
LAB Type Physician Office
Facility Name SHULTS PEDIATRICS A DIVISION OF SUMMIT MED GROUP DBA SHULTS PEDIATRICS
Street 9142 S NORTHSHORE DR
City KNOXVILLE
State TN
ZIP 37922
Phone 865 670-1560
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 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DR. STEPHANIE S. SHULTS

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