44D2113721 CLIA NUMBER - SOUTHEASTERN RETINA ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 44D2113721
  • Facility Name: SOUTHEASTERN RETINA ASSOCIATES, PC
  • Facility Address: 140 CAPITAL DRIVE
    KNOXVILLE, TN
    ZIP 37922
  • Facility Phone: 865 588-0811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. PERKINS
  • NPI Number: 1881992279
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2113721
LAB Type Physician Office
Facility Name SOUTHEASTERN RETINA ASSOCIATES, PC
Street 140 CAPITAL DRIVE
City KNOXVILLE
State TN
ZIP 37922
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 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director STEPHEN L. PERKINS

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