44D1063511 CLIA NUMBER - SUMMIT EXPRESS CLINIC-FARRAGUT

Laboratory Demographics

  • CLIA Code: 44D1063511
  • Facility Name: SUMMIT EXPRESS CLINIC-FARRAGUT
  • Facility Address: 10820 KINGSTON PK, STE 11
    KNOXVILLE, TN
    ZIP 37934
  • Facility Phone: 865 671-6720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN L. LAW
  • NPI Number: 1215126412
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1063511
LAB Type Physician Office
Facility Name SUMMIT EXPRESS CLINIC-FARRAGUT
Street 10820 KINGSTON PK, STE 11
City KNOXVILLE
State TN
ZIP 37934
Phone 865 671-6720
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