44D1039376 CLIA NUMBER - TEC NORTH LLC D/B/A THE ENDOSCOPY CENTER NORTH

Laboratory Demographics

  • CLIA Code: 44D1039376
  • Facility Name: TEC NORTH LLC D/B/A THE ENDOSCOPY CENTER NORTH
  • Facility Address: 629 DELOZIER WAY
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 588-5121
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN MOORE
  • NPI Number: 1285692004
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1039376
LAB Type Ambulatory Surgery Center
Facility Name TEC NORTH LLC D/B/A THE ENDOSCOPY CENTER NORTH
Street 629 DELOZIER WAY
City POWELL
State TN
ZIP 37849
Phone 865 588-5121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN MOORE

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