44D1004660 CLIA NUMBER - PRIMARY CARE AND GERIATRICS PC

Laboratory Demographics

  • CLIA Code: 44D1004660
  • Facility Name: PRIMARY CARE AND GERIATRICS PC
  • Facility Address: 711 MCFARLAND ST
    MORRISTOWN, TN
    ZIP 37814
  • Facility Phone: 423 317-7412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJEEV GUPTA MD
  • NPI Number: 1669676490
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1004660
LAB Type Physician Office
Facility Name PRIMARY CARE AND GERIATRICS PC
Street 711 MCFARLAND ST
City MORRISTOWN
State TN
ZIP 37814
Phone 423 317-7412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director RAJEEV GUPTA MD

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This page was last updated on: 3/20/2025