44D2258130 CLIA NUMBER - MIDDLEBROOK ASC, LLC DBA MIDDLEBROOK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D2258130
  • Facility Name: MIDDLEBROOK ASC, LLC DBA MIDDLEBROOK SURGERY CENTER
  • Facility Address: 1210 TENNOVA MEDICAL WAY
    KNOXVILLE, TN
    ZIP 37909
  • Facility Phone: 832 722-4667
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. RATHFOOT
  • NPI Number: 1457957391
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2258130
LAB Type Ambulatory Surgery Center
Facility Name MIDDLEBROOK ASC, LLC DBA MIDDLEBROOK SURGERY CENTER
Street 1210 TENNOVA MEDICAL WAY
City KNOXVILLE
State TN
ZIP 37909
Phone 832 722-4667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER J. RATHFOOT

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