44D2111676 CLIA NUMBER - TRINITY MEDICAL ASSOCIATES KIMBLE CHASE ONSITE CLINIC

Laboratory Demographics

  • CLIA Code: 44D2111676
  • Facility Name: TRINITY MEDICAL ASSOCIATES KIMBLE CHASE ONSITE CLINIC
  • Facility Address: 234 CARDIFF VALLEY ROAD
    ROCKWOOD, TN
    ZIP 37854
  • Facility Phone: 865 539-0270
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. R MICHAEL GREEN
  • NPI Number: 1700858818
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2111676
LAB Type Practitioner Other
Facility Name TRINITY MEDICAL ASSOCIATES KIMBLE CHASE ONSITE CLINIC
Street 234 CARDIFF VALLEY ROAD
City ROCKWOOD
State TN
ZIP 37854
Phone 865 539-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Practitioner Other
Lab Director DR. R MICHAEL GREEN

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