44D2254388 CLIA NUMBER - PREMIER COVENANT ASTC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2254388
  • Facility Name: PREMIER COVENANT ASTC, PLLC
  • Facility Address: 6408 PAPERMILL DRIVE, SUITE 150
    KNOXVILLE, TN
    ZIP 37919
  • Facility Phone: 865 306-5868
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RANDY SMITH
  • NPI Number: 1528622321
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2254388
LAB Type Ambulatory Surgery Center
Facility Name PREMIER COVENANT ASTC, PLLC
Street 6408 PAPERMILL DRIVE, SUITE 150
City KNOXVILLE
State TN
ZIP 37919
Phone 865 306-5868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulatory Surgery Center
Lab Director RANDY SMITH

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