44D2028004 CLIA NUMBER - DAYTON INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 44D2028004
  • Facility Name: DAYTON INTERNAL MEDICINE PLLC
  • Facility Address: 188 16TH AVE STE 107
    DAYTON, TN
    ZIP 37321
  • Facility Phone: 423 775-6933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAK S. SEO
  • NPI Number: 1942594841
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2028004
LAB Type Physician Office
Facility Name DAYTON INTERNAL MEDICINE PLLC
Street 188 16TH AVE STE 107
City DAYTON
State TN
ZIP 37321
Phone 423 775-6933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director HAK S. SEO

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