44D2199791 CLIA NUMBER - EVIDENCE BASED ADDICTION MEDICINE DBA HIGH POINT CLINIC

Laboratory Demographics

  • CLIA Code: 44D2199791
  • Facility Name: EVIDENCE BASED ADDICTION MEDICINE DBA HIGH POINT CLINIC
  • Facility Address: 203 HIGH POINT DRIVE
    JOHNSON CITY, TN
    ZIP 37601
  • Facility Phone: 423 631-0731
  • Facility Type: Other - MED ASSISTED TREAT CTR
  • Facility Type: Waiver
  • Lab Director: RENE D. SHAW
  • NPI Number: 1093169443
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2199791
LAB Type Other - MED ASSISTED TREAT CTR
Facility Name EVIDENCE BASED ADDICTION MEDICINE DBA HIGH POINT CLINIC
Street 203 HIGH POINT DRIVE
City JOHNSON CITY
State TN
ZIP 37601
Phone 423 631-0731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Other - MED ASSISTED TREAT CTR
Lab Director RENE D. SHAW

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