44D2052375 CLIA NUMBER - EASTERLY FAMILY MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 44D2052375
  • Facility Name: EASTERLY FAMILY MEDICINE, PLLC
  • Facility Address: 104 PARLIAMENT DR
    MARYVILLE, TN
    ZIP 37804
  • Facility Phone: 865 233-7425
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFF EASTERLY
  • NPI Number: 1649538802
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2052375
LAB Type Physician Office
Facility Name EASTERLY FAMILY MEDICINE, PLLC
Street 104 PARLIAMENT DR
City MARYVILLE
State TN
ZIP 37804
Phone 865 233-7425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director JEFF EASTERLY

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