44D2301876 CLIA NUMBER - VOLUNTEER PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D2301876
  • Facility Name: VOLUNTEER PRIMARY CARE
  • Facility Address: 127 W MACON LANE, STE 2
    SEYMOUR, TN
    ZIP 37865
  • Facility Phone: 865 268-5009
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEREMY R. STRADER
  • NPI Number: 1255088159
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2301876
LAB Type Practitioner Other
Facility Name VOLUNTEER PRIMARY CARE
Street 127 W MACON LANE, STE 2
City SEYMOUR
State TN
ZIP 37865
Phone 865 268-5009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Practitioner Other
Lab Director JEREMY R. STRADER

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