44D2116146 CLIA NUMBER - HAWKINS PHYSICIAN SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 44D2116146
  • Facility Name: HAWKINS PHYSICIAN SERVICES, PLLC
  • Facility Address: 1112 EAST MAIN ST
    ROGERSVILLE, TN
    ZIP 37857
  • Facility Phone: 423 293-3711
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. LATA S. SHAH
  • NPI Number: 1437502960
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2116146
LAB Type Physician Office
Facility Name HAWKINS PHYSICIAN SERVICES, PLLC
Street 1112 EAST MAIN ST
City ROGERSVILLE
State TN
ZIP 37857
Phone 423 293-3711
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director DR. LATA S. SHAH

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