44D1069780 CLIA NUMBER - IN GOOD HEALTH

Laboratory Demographics

  • CLIA Code: 44D1069780
  • Facility Name: IN GOOD HEALTH
  • Facility Address: 1508 TOMBRAS AVENUE
    EAST RIDGE, TN
    ZIP 37412
  • Facility Phone: 423 867-4969
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURIE D. DAVIS APRN-BC
  • NPI Number: 1386864296
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1069780
LAB Type Practitioner Other
Facility Name IN GOOD HEALTH
Street 1508 TOMBRAS AVENUE
City EAST RIDGE
State TN
ZIP 37412
Phone 423 867-4969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Practitioner Other
Lab Director LAURIE D. DAVIS APRN-BC

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