44D2265412 CLIA NUMBER - STATCARE PULMONARY CONSULTANTS-ATHENS

Laboratory Demographics

  • CLIA Code: 44D2265412
  • Facility Name: STATCARE PULMONARY CONSULTANTS-ATHENS
  • Facility Address: 719 COOK DRIVE #103
    ATHENS, TN
    ZIP 37303
  • Facility Phone: 865 588-8831
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON L. BYRD
  • NPI Number: 1932279346
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2265412
LAB Type Physician Office
Facility Name STATCARE PULMONARY CONSULTANTS-ATHENS
Street 719 COOK DRIVE #103
City ATHENS
State TN
ZIP 37303
Phone 865 588-8831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director SHANNON L. BYRD

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