44D2095771 CLIA NUMBER - SOUTHEASTERN RETINA ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 44D2095771
  • Facility Name: SOUTHEASTERN RETINA ASSOCIATES, PC
  • Facility Address: 1124 E WEISGARBER RD, SUITE 207
    KNOXVILLE, TN
    ZIP 37909
  • Facility Phone: 865 588-0811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH GOOGE
  • NPI Number: 1932200664
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 44D2095771
LAB Type Physician Office
Facility Name SOUTHEASTERN RETINA ASSOCIATES, PC
Street 1124 E WEISGARBER RD, SUITE 207
City KNOXVILLE
State TN
ZIP 37909
Phone 865 588-0811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director JOSEPH GOOGE

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