44D2305302 CLIA NUMBER - IPC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D2305302
  • Facility Name: IPC SURGERY CENTER
  • Facility Address: 2550 BUSINESS PARK DR NE
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 339-9581
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA L. HARE
  • NPI Number: 1457134595
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2305302
LAB Type Ambulatory Surgery Center
Facility Name IPC SURGERY CENTER
Street 2550 BUSINESS PARK DR NE
City CLEVELAND
State TN
ZIP 37311
Phone 423 339-9581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSHUA L. HARE

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