44D1085147 CLIA NUMBER - PAUL MORAN, MD

Laboratory Demographics

  • CLIA Code: 44D1085147
  • Facility Name: PAUL MORAN, MD
  • Facility Address: 1321 SUNSET DRIVE SUITE 22
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 854-9040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL E. MORAN MD
  • NPI Number: 1184680787
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1085147
LAB Type Physician Office
Facility Name PAUL MORAN, MD
Street 1321 SUNSET DRIVE SUITE 22
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 854-9040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director PAUL E. MORAN MD

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