44D2154389 CLIA NUMBER - STAFFORD FAMILY CARE

Laboratory Demographics

  • CLIA Code: 44D2154389
  • Facility Name: STAFFORD FAMILY CARE
  • Facility Address: 7317 CLINTON HWY
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 340-6346
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH T. STAFFORD
  • NPI Number: 1477121168
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2154389
LAB Type Practitioner Other
Facility Name STAFFORD FAMILY CARE
Street 7317 CLINTON HWY
City POWELL
State TN
ZIP 37849
Phone 865 340-6346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Practitioner Other
Lab Director DEBORAH T. STAFFORD

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This page was last updated on: 6/4/2025