44D2083444 CLIA NUMBER - ENCOMPASS FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 44D2083444
  • Facility Name: ENCOMPASS FAMILY PRACTICE, LLC
  • Facility Address: 315 GRADY ROAD
    ETOWAH, TN
    ZIP 37331
  • Facility Phone: 423 887-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEIDRE BROWN
  • NPI Number: 1649538109
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2083444
LAB Type Physician Office
Facility Name ENCOMPASS FAMILY PRACTICE, LLC
Street 315 GRADY ROAD
City ETOWAH
State TN
ZIP 37331
Phone 423 887-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director DEIDRE BROWN

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