44D2116694 CLIA NUMBER - TENNESSEE HIGH SCHOOL-TELEMEDICINE

Laboratory Demographics

  • CLIA Code: 44D2116694
  • Facility Name: TENNESSEE HIGH SCHOOL-TELEMEDICINE
  • Facility Address: 1112 EDGEMONT AVENUE
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 652-9494
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ANASTASIA C. BROWN
  • NPI Number: 1104929611
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2116694
LAB Type School/Student Health Service
Facility Name TENNESSEE HIGH SCHOOL-TELEMEDICINE
Street 1112 EDGEMONT AVENUE
City BRISTOL
State TN
ZIP 37620
Phone 423 652-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type School/Student Health Service
Lab Director ANASTASIA C. BROWN

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