44D2010925 CLIA NUMBER - HEALTHSTAR PHYSICIANS DBA MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 44D2010925
  • Facility Name: HEALTHSTAR PHYSICIANS DBA MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE
  • Facility Address: 1059 E HIGHWAY 11-E
    JEFFERSON CITY, TN
    ZIP 37760
  • Facility Phone: 865 375-6005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATHEW T. KRAUS
  • NPI Number: 1205226032
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2010925
LAB Type Physician Office
Facility Name HEALTHSTAR PHYSICIANS DBA MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE
Street 1059 E HIGHWAY 11-E
City JEFFERSON CITY
State TN
ZIP 37760
Phone 865 375-6005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director DR. MATHEW T. KRAUS

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