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44D1098561 CLIA NUMBER - UNIVERSITY DIAGNOSTICS LLC DBA UNIVERSITY DIAGNOSTICS HALL OF FAME

Laboratory Demographics

CLIA Number: 44D1098561

Facility Name: UNIVERSITY DIAGNOSTICS LLC DBA UNIVERSITY DIAGNOSTICS HALL OF FAME

Facility Address:
601 HALL OF FAME DRIVE
KNOXVILLE, TN
ZIP 37915
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Facility Phone Number: 865 525-7100

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1689622003

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name Field Value
CLIA Number 44D1098561
LAB Type Other
Facility Name UNIVERSITY DIAGNOSTICS LLC DBA UNIVERSITY DIAGNOSTICS HALL OF FAME
Street 601 HALL OF FAME DRIVE
City KNOXVILLE
State TN
ZIP 37915
Phone 865 525-7100
CertificateType 4
CertificateEffectiveDate 4/22/2023
CertificateExpirationDate 4/21/2025
FacilityType Waiver

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