44D2101648 CLIA NUMBER - ORTHOTENNESSEE, PC

Laboratory Demographics

  • CLIA Code: 44D2101648
  • Facility Name: ORTHOTENNESSEE, PC
  • Facility Address: 90 VERMONT AVE, SUITE 300
    OAK RIDGE, TN
    ZIP 37830
  • Facility Phone: 865 481-2541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. MACKAY
  • NPI Number: 1932290798
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2101648
LAB Type Physician Office
Facility Name ORTHOTENNESSEE, PC
Street 90 VERMONT AVE, SUITE 300
City OAK RIDGE
State TN
ZIP 37830
Phone 865 481-2541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director MICHAEL A. MACKAY

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