44D2163949 CLIA NUMBER - CLINICA FAMILIAR

Laboratory Demographics

  • CLIA Code: 44D2163949
  • Facility Name: CLINICA FAMILIAR
  • Facility Address: 1559 HIGHLAND PARK DRIVE
    LENOIR CITY, TN
    ZIP 37771
  • Facility Phone: 865 635-8389
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RUDY G. HAMM
  • NPI Number: 1811458565
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 44D2163949
LAB Type Practitioner Other
Facility Name CLINICA FAMILIAR
Street 1559 HIGHLAND PARK DRIVE
City LENOIR CITY
State TN
ZIP 37771
Phone 865 635-8389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Practitioner Other
Lab Director RUDY G. HAMM

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