44D2276228 CLIA NUMBER - OPEN DOOR PRIMARY CARE & WELLNESS

Laboratory Demographics

CLIA Number: 44D2276228

Facility Name: OPEN DOOR PRIMARY CARE & WELLNESS

Facility Address:
228 NORTH FAIRMONT AVENUE
MORRISTOWN, TN
ZIP 37814
Get Directions

Facility Phone Number: 865 236-0425

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386359446

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2276228
LAB Type	Physician Office
Facility Name	OPEN DOOR PRIMARY CARE & WELLNESS
Street	228 NORTH FAIRMONT AVENUE
City	MORRISTOWN
State	TN
ZIP	37814
Phone	865 236-0425
CertificateType	4
CertificateEffectiveDate	2/6/2023
CertificateExpirationDate	2/5/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024