44D1021125 CLIA NUMBER - FACULTY INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 44D1021125
  • Facility Name: FACULTY INTERNAL MEDICINE PLLC
  • Facility Address: 2250 SUTHERLAND AVENUE SUITE #121
    KNOXVILLE, TN
    ZIP 37919
  • Facility Phone: 865 288-1576
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEREMY G. VINCENT
  • NPI Number: 1417095308
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1021125
LAB Type Physician Office
Facility Name FACULTY INTERNAL MEDICINE PLLC
Street 2250 SUTHERLAND AVENUE SUITE #121
City KNOXVILLE
State TN
ZIP 37919
Phone 865 288-1576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director DR. JEREMY G. VINCENT

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