44D1039222 CLIA NUMBER - WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER - POC

Laboratory Demographics

  • CLIA Code: 44D1039222
  • Facility Name: WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER - POC
  • Facility Address: 130 WEST RAVINE ROAD
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 224-5377
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. GREGORY A. STANCEL
  • NPI Number: 1336267145
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1039222
LAB Type Hospital
Facility Name WELLMONT HEALTH SYSTEM DBA HOLSTON VALLEY MEDICAL CENTER - POC
Street 130 WEST RAVINE ROAD
City KINGSPORT
State TN
ZIP 37660
Phone 423 224-5377
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Hospital
Lab Director DR. GREGORY A. STANCEL

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