44D2157479 CLIA NUMBER - POINTE MEDICAL

Laboratory Demographics

  • CLIA Code: 44D2157479
  • Facility Name: POINTE MEDICAL
  • Facility Address: 705 MAIN STREET, SUITE 2
    OLIVER SPRINGS, TN
    ZIP 37840
  • Facility Phone: 865 280-1466
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LANITA Y. GANN
  • NPI Number: 1366918930
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2157479
LAB Type Practitioner Other
Facility Name POINTE MEDICAL
Street 705 MAIN STREET, SUITE 2
City OLIVER SPRINGS
State TN
ZIP 37840
Phone 865 280-1466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Practitioner Other
Lab Director LANITA Y. GANN

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