44D1046353 CLIA NUMBER - LATROBE DIALYSIS LLC DBA SMOKIE MOUNTAIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D1046353
  • Facility Name: LATROBE DIALYSIS LLC DBA SMOKIE MOUNTAIN DIALYSIS
  • Facility Address: 2320 KNOB CREEK RD
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 232-8882
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARTIN TRAN
  • NPI Number: 1184994576
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1046353
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LATROBE DIALYSIS LLC DBA SMOKIE MOUNTAIN DIALYSIS
Street 2320 KNOB CREEK RD
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 232-8882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARTIN TRAN

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