44D2278828 CLIA NUMBER - WATAUGA ORTHOPEDICS CENTER FOR ADVANCED BONE & JOINT SURGERY

Laboratory Demographics

  • CLIA Code: 44D2278828
  • Facility Name: WATAUGA ORTHOPEDICS CENTER FOR ADVANCED BONE & JOINT SURGERY
  • Facility Address: 10425 WALLACE ALLEY STREET
    KINGSPORT, TN
    ZIP 37663
  • Facility Phone: 423 282-9011
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD W. DUNCAN
  • NPI Number: 1245251404
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2278828
LAB Type Ambulatory Surgery Center
Facility Name WATAUGA ORTHOPEDICS CENTER FOR ADVANCED BONE & JOINT SURGERY
Street 10425 WALLACE ALLEY STREET
City KINGSPORT
State TN
ZIP 37663
Phone 423 282-9011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Ambulatory Surgery Center
Lab Director RICHARD W. DUNCAN

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