44D2014687 CLIA NUMBER - TUSCULUM FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 44D2014687
  • Facility Name: TUSCULUM FAMILY PHYSICIANS
  • Facility Address: 555 JUSTIS DR
    GREENEVILLE, TN
    ZIP 37745
  • Facility Phone: 423 783-7965
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH NICKLE
  • NPI Number: 1033711726
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2014687
LAB Type Physician Office
Facility Name TUSCULUM FAMILY PHYSICIANS
Street 555 JUSTIS DR
City GREENEVILLE
State TN
ZIP 37745
Phone 423 783-7965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director DR. KENNETH NICKLE

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