44D2039475 CLIA NUMBER - GRAY STATION NEUROLOGY PC

Laboratory Demographics

  • CLIA Code: 44D2039475
  • Facility Name: GRAY STATION NEUROLOGY PC
  • Facility Address: 5583 BOBBY HICKS HWY STE 209
    GRAY, TN
    ZIP 37615
  • Facility Phone: 423 467-4240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS WRIGHT
  • NPI Number: 1598969560
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2039475
LAB Type Physician Office
Facility Name GRAY STATION NEUROLOGY PC
Street 5583 BOBBY HICKS HWY STE 209
City GRAY
State TN
ZIP 37615
Phone 423 467-4240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director DOUGLAS WRIGHT

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