44D1039379 CLIA NUMBER - ENDOSCOPY CENTER OF KNOXVILLE LP DBA THE ENDOSCOPY CENTER-WEST

Laboratory Demographics

CLIA Number: 44D1039379

Facility Name: ENDOSCOPY CENTER OF KNOXVILLE LP DBA THE ENDOSCOPY CENTER-WEST

Facility Address:
11440 PARKSIDE DRIVE, SUITE 100
KNOXVILLE, TN
ZIP 37922
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Facility Phone Number: 865 588-5121

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1508845942

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D1039379
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER OF KNOXVILLE LP DBA THE ENDOSCOPY CENTER-WEST
Street	11440 PARKSIDE DRIVE, SUITE 100
City	KNOXVILLE
State	TN
ZIP	37922
Phone	865 588-5121
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024