44D2283201 CLIA NUMBER - FPSC

Laboratory Demographics

  • CLIA Code: 44D2283201
  • Facility Name: FPSC
  • Facility Address: 9219 LEE HWY STE 103
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 531-3398
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON HORINOUCHI
  • NPI Number: 1841744810
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2283201
LAB Type Physician Office
Facility Name FPSC
Street 9219 LEE HWY STE 103
City OOLTEWAH
State TN
ZIP 37363
Phone 423 531-3398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DR. JASON HORINOUCHI

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