44D2180221 CLIA NUMBER - KNOXVILLE CENTER FOR DERMATOLOGY & PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 44D2180221
  • Facility Name: KNOXVILLE CENTER FOR DERMATOLOGY & PLASTIC SURGERY
  • Facility Address: 4319 PAPERMILL DRIVE
    KNOXVILLE, TN
    ZIP 37909
  • Facility Phone: 865 470-4127
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CARLY O. FOWLER
  • NPI Number: 1881753044
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2180221
LAB Type Physician Office
Facility Name KNOXVILLE CENTER FOR DERMATOLOGY & PLASTIC SURGERY
Street 4319 PAPERMILL DRIVE
City KNOXVILLE
State TN
ZIP 37909
Phone 865 470-4127
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director DR. CARLY O. FOWLER

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