44D1002528 CLIA NUMBER - TRI-CITIES ENDOSCOPY CENTER DBA THE CENTER FOR DIGESTIVE WELLNESS

Laboratory Demographics

  • CLIA Code: 44D1002528
  • Facility Name: TRI-CITIES ENDOSCOPY CENTER DBA THE CENTER FOR DIGESTIVE WELLNESS
  • Facility Address: 10461 WALLACE ALLEY STREET
    KINGSPORT, TN
    ZIP 37663
  • Facility Phone: 423 845-3807
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN FRY
  • NPI Number: 1689213498
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 44D1002528
LAB Type Ambulatory Surgery Center
Facility Name TRI-CITIES ENDOSCOPY CENTER DBA THE CENTER FOR DIGESTIVE WELLNESS
Street 10461 WALLACE ALLEY STREET
City KINGSPORT
State TN
ZIP 37663
Phone 423 845-3807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN FRY

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