44D1082302 CLIA NUMBER - HARROGATE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D1082302
  • Facility Name: HARROGATE FAMILY PRACTICE
  • Facility Address: 6976 CUMBERLAND GAP PKWY
    HARROGATE, TN
    ZIP 37752
  • Facility Phone: 865 377-3390
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA G. BROWN
  • NPI Number: 1144602574
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1082302
LAB Type Practitioner Other
Facility Name HARROGATE FAMILY PRACTICE
Street 6976 CUMBERLAND GAP PKWY
City HARROGATE
State TN
ZIP 37752
Phone 865 377-3390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Practitioner Other
Lab Director AMANDA G. BROWN

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