44D1063880 CLIA NUMBER - GENERATIONS OBGYN

Laboratory Demographics

  • CLIA Code: 44D1063880
  • Facility Name: GENERATIONS OBGYN
  • Facility Address: 576 FT LOUDON MEDICAL CENTER DRIVE, SUITE 106
    LENOIR CITY, TN
    ZIP 37772
  • Facility Phone: 865 271-6041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH R. O KELLEY
  • NPI Number: 1144361619
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1063880
LAB Type Physician Office
Facility Name GENERATIONS OBGYN
Street 576 FT LOUDON MEDICAL CENTER DRIVE, SUITE 106
City LENOIR CITY
State TN
ZIP 37772
Phone 865 271-6041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director KENNETH R. O KELLEY

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