44D2009059 CLIA NUMBER - SMOKY MOUNTAIN GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 44D2009059
  • Facility Name: SMOKY MOUNTAIN GASTROENTEROLOGY
  • Facility Address: 355 BMH PHYSICIAN OFFICE BUILDING
    MARYVILLE, TN
    ZIP 37804
  • Facility Phone: 865 980-5060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM E. LYLES
  • NPI Number: 1932602448
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2009059
LAB Type Physician Office
Facility Name SMOKY MOUNTAIN GASTROENTEROLOGY
Street 355 BMH PHYSICIAN OFFICE BUILDING
City MARYVILLE
State TN
ZIP 37804
Phone 865 980-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. WILLIAM E. LYLES

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