44D2197304 CLIA NUMBER - JAMES R BRAGG, JR, DDS

Laboratory Demographics

  • CLIA Code: 44D2197304
  • Facility Name: JAMES R BRAGG, JR, DDS
  • Facility Address: 9406 RUGGLES FERRY PIKE
    STRAWBERRY PLAINS, TN
    ZIP 37871
  • Facility Phone: 865 933-0557
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES R. BRAGG JR
  • NPI Number: 1093700908
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2197304
LAB Type Practitioner Other
Facility Name JAMES R BRAGG, JR, DDS
Street 9406 RUGGLES FERRY PIKE
City STRAWBERRY PLAINS
State TN
ZIP 37871
Phone 865 933-0557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Practitioner Other
Lab Director JAMES R. BRAGG JR

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This page was last updated on: 6/4/2025