44D1054804 CLIA NUMBER - ERLANGER HEALTH DBA ERLANGER KIDNEY TRANSPLANT CLINIC

Laboratory Demographics

  • CLIA Code: 44D1054804
  • Facility Name: ERLANGER HEALTH DBA ERLANGER KIDNEY TRANSPLANT CLINIC
  • Facility Address: 975 EAST 3RD ST SUITE B1002
    CHATTANOOGA, TN
    ZIP 37403
  • Facility Phone: 423 778-2521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH E. KOKKO
  • NPI Number: 1972123537
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1054804
LAB Type Physician Office
Facility Name ERLANGER HEALTH DBA ERLANGER KIDNEY TRANSPLANT CLINIC
Street 975 EAST 3RD ST SUITE B1002
City CHATTANOOGA
State TN
ZIP 37403
Phone 423 778-2521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director DR. KENNETH E. KOKKO

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