44D1018014 CLIA NUMBER - SEQUATCHIE VALLEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D1018014
  • Facility Name: SEQUATCHIE VALLEY PRIMARY CARE
  • Facility Address: 24 MOUNTAIN VIEW DR STE A
    KIMBALL, TN
    ZIP 37347
  • Facility Phone: 423 942-9171
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARIN A. BOECK MD
  • NPI Number: 1225025653
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 44D1018014
LAB Type Physician Office
Facility Name SEQUATCHIE VALLEY PRIMARY CARE
Street 24 MOUNTAIN VIEW DR STE A
City KIMBALL
State TN
ZIP 37347
Phone 423 942-9171
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 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director KARIN A. BOECK MD

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