44D2317788 CLIA NUMBER - CARDINAL OSTEOPATHIC WELLNESS CENTER, PC

Laboratory Demographics

  • CLIA Code: 44D2317788
  • Facility Name: CARDINAL OSTEOPATHIC WELLNESS CENTER, PC
  • Facility Address: 146 COLD CREEK DRIVE
    MORRISTOWN, TN
    ZIP 37814
  • Facility Phone: 423 616-2227
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GAYLE HAMANN
  • NPI Number: 1093500886
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 44D2317788
LAB Type Physician Office
Facility Name CARDINAL OSTEOPATHIC WELLNESS CENTER, PC
Street 146 COLD CREEK DRIVE
City MORRISTOWN
State TN
ZIP 37814
Phone 423 616-2227
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. GAYLE HAMANN

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