44D1055133 CLIA NUMBER - UNAKA INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 44D1055133
  • Facility Name: UNAKA INTERNAL MEDICINE LLC
  • Facility Address: 500 LOVE STREET
    ERWIN, TN
    ZIP 37650
  • Facility Phone: 423 735-4160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES G. MILLER DO
  • NPI Number: 1619904570
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1055133
LAB Type Physician Office
Facility Name UNAKA INTERNAL MEDICINE LLC
Street 500 LOVE STREET
City ERWIN
State TN
ZIP 37650
Phone 423 735-4160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director CHARLES G. MILLER DO

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