44D1074402 CLIA NUMBER - UT PRIMARY CARE

Laboratory Demographics

CLIA Number: 44D1074402

Facility Name: UT PRIMARY CARE

Facility Address:
1130 MIDDLECREEK RD, SUITE 260
SEVIERVILLE, TN
ZIP 37862
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Facility Phone Number: 865 428-7586

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1922292101

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	44D1074402
LAB Type	Physician Office
Facility Name	UT PRIMARY CARE
Street	1130 MIDDLECREEK RD, SUITE 260
City	SEVIERVILLE
State	TN
ZIP	37862
Phone	865 428-7586
CertificateType	3
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024