44D1061057 CLIA NUMBER - DUCK FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 44D1061057
  • Facility Name: DUCK FAMILY MEDICINE
  • Facility Address: 8731 RUTLEDGE PIKE/PO BOX 700
    RUTLEDGE, TN
    ZIP 37861
  • Facility Phone: 865 548-1297
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DENNIS H. DUCK MD
  • NPI Number: 1104345271
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1061057
LAB Type Physician Office
Facility Name DUCK FAMILY MEDICINE
Street 8731 RUTLEDGE PIKE/PO BOX 700
City RUTLEDGE
State TN
ZIP 37861
Phone 865 548-1297
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 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DENNIS H. DUCK MD

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This page was last updated on: 6/4/2025