44D2296857 CLIA NUMBER - MARYVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 44D2296857
  • Facility Name: MARYVILLE FAMILY MEDICINE
  • Facility Address: 222 KELLER LANE
    MARYVILLE, TN
    ZIP 37801
  • Facility Phone: 865 982-7101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY STEVENS
  • NPI Number: 1255572574
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2296857
LAB Type Physician Office
Facility Name MARYVILLE FAMILY MEDICINE
Street 222 KELLER LANE
City MARYVILLE
State TN
ZIP 37801
Phone 865 982-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director JEFFREY STEVENS

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