44D2286989 CLIA NUMBER - BOULEVARD ENT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 44D2286989
  • Facility Name: BOULEVARD ENT SURGERY CENTER LLC
  • Facility Address: 9300 PARK WEST BLVD
    KNOXVILLE, TN
    ZIP 37923
  • Facility Phone: 865 427-4040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALANA BOOTH
  • NPI Number: 1528762671
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2286989
LAB Type Ambulatory Surgery Center
Facility Name BOULEVARD ENT SURGERY CENTER LLC
Street 9300 PARK WEST BLVD
City KNOXVILLE
State TN
ZIP 37923
Phone 865 427-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Ambulatory Surgery Center
Lab Director ALANA BOOTH

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