44D2111642 CLIA NUMBER - GREENEVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 44D2111642
  • Facility Name: GREENEVILLE FAMILY MEDICINE
  • Facility Address: 1404 TUSCULUM BLVD, MOB 3 STE 3000
    GREENEVILLE, TN
    ZIP 37745
  • Facility Phone: 423 638-1188
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SONJA WOODS
  • NPI Number: 1114190535
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 44D2111642
LAB Type Physician Office
Facility Name GREENEVILLE FAMILY MEDICINE
Street 1404 TUSCULUM BLVD, MOB 3 STE 3000
City GREENEVILLE
State TN
ZIP 37745
Phone 423 638-1188
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director DR. SONJA WOODS

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