44D2258618 CLIA NUMBER - VALLEY MEDICAL

Laboratory Demographics

  • CLIA Code: 44D2258618
  • Facility Name: VALLEY MEDICAL
  • Facility Address: 2545 JACKSBORO PIKE
    JACKSBORO, TN
    ZIP 37757
  • Facility Phone: 423 352-6090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA R. BOND
  • NPI Number: 1811631518
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2258618
LAB Type Physician Office
Facility Name VALLEY MEDICAL
Street 2545 JACKSBORO PIKE
City JACKSBORO
State TN
ZIP 37757
Phone 423 352-6090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director SANDRA R. BOND

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