44D2053806 CLIA NUMBER - SOUTHEAST RENAL RESEARCH INSTITUTE

Laboratory Demographics

  • CLIA Code: 44D2053806
  • Facility Name: SOUTHEAST RENAL RESEARCH INSTITUTE
  • Facility Address: 2300 EAST THIRD STREET SUITE B
    CHATTANOOGA, TN
    ZIP 37404
  • Facility Phone: 423 826-8003
  • Facility Type: Other - CLINICAL RESEARCH OFFICE
  • Facility Type: Waiver
  • Lab Director: RALPH W. STAFFORD
  • NPI Number: 1679572655
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2053806
LAB Type Other - CLINICAL RESEARCH OFFICE
Facility Name SOUTHEAST RENAL RESEARCH INSTITUTE
Street 2300 EAST THIRD STREET SUITE B
City CHATTANOOGA
State TN
ZIP 37404
Phone 423 826-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Other - CLINICAL RESEARCH OFFICE
Lab Director RALPH W. STAFFORD

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