44D2083825 CLIA NUMBER - VIP PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 44D2083825
  • Facility Name: VIP PRIMARY CARE LLC
  • Facility Address: 933 EAST TRI COUNTY BLVD
    OLIVER SPRINGS, TN
    ZIP 37840
  • Facility Phone: 865 314-0092
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TROYAL L. CRAIG
  • NPI Number: 1124791975
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2083825
LAB Type Practitioner Other
Facility Name VIP PRIMARY CARE LLC
Street 933 EAST TRI COUNTY BLVD
City OLIVER SPRINGS
State TN
ZIP 37840
Phone 865 314-0092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Practitioner Other
Lab Director TROYAL L. CRAIG

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