44D2290240 CLIA NUMBER - CHATTANOOGA CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 44D2290240
  • Facility Name: CHATTANOOGA CHILDREN'S CLINIC
  • Facility Address: 103 JORDAN DRIVE, SUITE 3
    CHATTANOOGA, TN
    ZIP 37421
  • Facility Phone: 423 855-6868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZARA S. MEMON
  • NPI Number: 1497095772
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D2290240
LAB Type Physician Office
Facility Name CHATTANOOGA CHILDREN'S CLINIC
Street 103 JORDAN DRIVE, SUITE 3
City CHATTANOOGA
State TN
ZIP 37421
Phone 423 855-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Physician Office
Lab Director ZARA S. MEMON

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