44D2086537 CLIA NUMBER - LAKESIDE MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 44D2086537
  • Facility Name: LAKESIDE MEDICAL, PLLC
  • Facility Address: 127 W MEETING STREET
    DANDRIDGE, TN
    ZIP 37725
  • Facility Phone: 865 397-6680
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRISTIN BELCHER
  • NPI Number: 1962802009
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2086537
LAB Type Practitioner Other
Facility Name LAKESIDE MEDICAL, PLLC
Street 127 W MEETING STREET
City DANDRIDGE
State TN
ZIP 37725
Phone 865 397-6680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Practitioner Other
Lab Director KRISTIN BELCHER

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