44D2229793 CLIA NUMBER - HEALTHSTAR PHYSICIANS CLINIC-SRK-TAZEWELL

Laboratory Demographics

  • CLIA Code: 44D2229793
  • Facility Name: HEALTHSTAR PHYSICIANS CLINIC-SRK-TAZEWELL
  • Facility Address: 150 HESTER LANE
    TAZEWELL, TN
    ZIP 37879
  • Facility Phone: 423 851-4594
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLAKE MELLING
  • NPI Number: 1689240251
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 44D2229793
LAB Type Physician Office
Facility Name HEALTHSTAR PHYSICIANS CLINIC-SRK-TAZEWELL
Street 150 HESTER LANE
City TAZEWELL
State TN
ZIP 37879
Phone 423 851-4594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director BLAKE MELLING

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