44D2307003 CLIA NUMBER - COMMUNITY DPC

Laboratory Demographics

  • CLIA Code: 44D2307003
  • Facility Name: COMMUNITY DPC
  • Facility Address: 2850 WESTSIDE DR NW STE A2
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 564-8018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLTON M. VOLLBERG
  • NPI Number: 1033227608
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2307003
LAB Type Physician Office
Facility Name COMMUNITY DPC
Street 2850 WESTSIDE DR NW STE A2
City CLEVELAND
State TN
ZIP 37312
Phone 423 564-8018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director CARLTON M. VOLLBERG

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