44D2229077 CLIA NUMBER - JACKSBORO URGENT CARE DBA LAFOLLETTE URGENT CARE

Laboratory Demographics

  • CLIA Code: 44D2229077
  • Facility Name: JACKSBORO URGENT CARE DBA LAFOLLETTE URGENT CARE
  • Facility Address: 304 E CENTERAL AVE
    LAFOLLETTE, TN
    ZIP 37766
  • Facility Phone: 423 437-8576
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. EBERHARTER
  • NPI Number: 1346854064
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2229077
LAB Type Physician Office
Facility Name JACKSBORO URGENT CARE DBA LAFOLLETTE URGENT CARE
Street 304 E CENTERAL AVE
City LAFOLLETTE
State TN
ZIP 37766
Phone 423 437-8576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director PATRICIA A. EBERHARTER

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