44D2191703 CLIA NUMBER - SUMMIT MEDICAL GROUP AT WARTBURG FAMILY MEDICINE & URGENT CARE

Laboratory Demographics

  • CLIA Code: 44D2191703
  • Facility Name: SUMMIT MEDICAL GROUP AT WARTBURG FAMILY MEDICINE & URGENT CARE
  • Facility Address: 1825 KNOXVILLE HWY
    WARTBURG, TN
    ZIP 37887
  • Facility Phone: 423 346-3600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JONATHAN B. LAYMANCE
  • NPI Number: 1124646559
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2191703
LAB Type Physician Office
Facility Name SUMMIT MEDICAL GROUP AT WARTBURG FAMILY MEDICINE & URGENT CARE
Street 1825 KNOXVILLE HWY
City WARTBURG
State TN
ZIP 37887
Phone 423 346-3600
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. JONATHAN B. LAYMANCE

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