44D1052120 CLIA NUMBER - APPALACHIAN SURGERY

Laboratory Demographics

  • CLIA Code: 44D1052120
  • Facility Name: APPALACHIAN SURGERY
  • Facility Address: 1503 WEST ELK AVENUE, SUITE 3
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: 423 543-8619
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT O. CAUDLE
  • NPI Number: 1689985863
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1052120
LAB Type Physician Office
Facility Name APPALACHIAN SURGERY
Street 1503 WEST ELK AVENUE, SUITE 3
City ELIZABETHTON
State TN
ZIP 37643
Phone 423 543-8619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director SCOTT O. CAUDLE

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