44D1060364 CLIA NUMBER - SUMMIT EXPRESS CLINIC AT FOUNTAIN CITY

Laboratory Demographics

  • CLIA Code: 44D1060364
  • Facility Name: SUMMIT EXPRESS CLINIC AT FOUNTAIN CITY
  • Facility Address: 103 MIDLAKE DRIVE-LOWER LEVEL
    KNOXVILLE, TN
    ZIP 37918
  • Facility Phone: 865 687-7704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN L. LAW
  • NPI Number: 1225117583
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1060364
LAB Type Physician Office
Facility Name SUMMIT EXPRESS CLINIC AT FOUNTAIN CITY
Street 103 MIDLAKE DRIVE-LOWER LEVEL
City KNOXVILLE
State TN
ZIP 37918
Phone 865 687-7704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director DR. JOHN L. LAW

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