44D2141265 CLIA NUMBER - KNOXVILLE MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 44D2141265
  • Facility Name: KNOXVILLE MEDICAL GROUP, LLC
  • Facility Address: 7523 MAYNARDVILLE PIKE
    KNOXVILLE, TN
    ZIP 37938
  • Facility Phone: (865) 630-4302
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY F. SADIKU
  • NPI Number: 1235641796
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2141265
LAB Type Practitioner Other
Facility Name KNOXVILLE MEDICAL GROUP, LLC
Street 7523 MAYNARDVILLE PIKE
City KNOXVILLE
State TN
ZIP 37938
Phone 8656304302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2025
Certificate Expiration Date 12/10/2027
Facility Type Practitioner Other
Lab Director MARY F. SADIKU

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This page was last updated on: 5/18/2026