44D1050096 CLIA NUMBER - SKIN WELLNESS CENTER PC

Laboratory Demographics

  • CLIA Code: 44D1050096
  • Facility Name: SKIN WELLNESS CENTER PC
  • Facility Address: 10215 KINGSTON PIKE SUITE #200
    KNOXVILLE, TN
    ZIP 37922
  • Facility Phone: 865 584-8580
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MEREDITH OVERHOLT MD
  • NPI Number: 1568515898
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1050096
LAB Type Physician Office
Facility Name SKIN WELLNESS CENTER PC
Street 10215 KINGSTON PIKE SUITE #200
City KNOXVILLE
State TN
ZIP 37922
Phone 865 584-8580
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director MEREDITH OVERHOLT MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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