44D2175278 CLIA NUMBER - COPPER BASIN ELEMENTARY SCHOOL

Laboratory Demographics

  • CLIA Code: 44D2175278
  • Facility Name: COPPER BASIN ELEMENTARY SCHOOL
  • Facility Address: 206 COUGAR DRIVE
    COPPERHILL, TN
    ZIP 37317
  • Facility Phone: 423 338-8995
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KAMI D. DYKES
  • NPI Number: 1326061292
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2175278
LAB Type School/Student Health Service
Facility Name COPPER BASIN ELEMENTARY SCHOOL
Street 206 COUGAR DRIVE
City COPPERHILL
State TN
ZIP 37317
Phone 423 338-8995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type School/Student Health Service
Lab Director KAMI D. DYKES

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