44D2280737 CLIA NUMBER - WESLEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D2280737
  • Facility Name: WESLEY PRIMARY CARE
  • Facility Address: 138 INDUSTRIAL DR
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: 423 282-0561
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES O. FAMOYIN
  • NPI Number: 1821718131
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2280737
LAB Type Physician Office
Facility Name WESLEY PRIMARY CARE
Street 138 INDUSTRIAL DR
City ELIZABETHTON
State TN
ZIP 37643
Phone 423 282-0561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. CHARLES O. FAMOYIN

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