44D1090219 CLIA NUMBER - RAPHLAN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D1090219
  • Facility Name: RAPHLAN MEDICAL ASSOCIATES
  • Facility Address: 6106 SHALLOWFORD RD STE 100
    CHATTANOOGA, TN
    ZIP 37421
  • Facility Phone: 423 778-7211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAPHAEL D. LANADE
  • NPI Number: 1871925099
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1090219
LAB Type Physician Office
Facility Name RAPHLAN MEDICAL ASSOCIATES
Street 6106 SHALLOWFORD RD STE 100
City CHATTANOOGA
State TN
ZIP 37421
Phone 423 778-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director DR. RAPHAEL D. LANADE

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