44D2079491 CLIA NUMBER - KNOXVILLE HMA PHYSICIAN MANAGEMENT LLC DBA TENNOVA PRIMARY CARE - JEFFERSON

Laboratory Demographics

  • CLIA Code: 44D2079491
  • Facility Name: KNOXVILLE HMA PHYSICIAN MANAGEMENT LLC DBA TENNOVA PRIMARY CARE - JEFFERSON
  • Facility Address: 1004 C HWY 92N SUITE B
    JEFFERSON CITY, TN
    ZIP 37760
  • Facility Phone: 865 262-9226
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. DEBORAH P. JOSEPH
  • NPI Number: 1194816983
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2079491
LAB Type Practitioner Other
Facility Name KNOXVILLE HMA PHYSICIAN MANAGEMENT LLC DBA TENNOVA PRIMARY CARE - JEFFERSON
Street 1004 C HWY 92N SUITE B
City JEFFERSON CITY
State TN
ZIP 37760
Phone 865 262-9226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Practitioner Other
Lab Director DR. DEBORAH P. JOSEPH

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This page was last updated on: 3/20/2025