44D2320806 CLIA NUMBER - NEWPORT PEDIATRICS GRAMMAR CLINIC

Laboratory Demographics

  • CLIA Code: 44D2320806
  • Facility Name: NEWPORT PEDIATRICS GRAMMAR CLINIC
  • Facility Address: 301 COLLEGE ST
    NEWPORT, TN
    ZIP 37821
  • Facility Phone: 423 623-0653
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SAMUEL M. PUCKETT
  • NPI Number: 1467678706
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2320806
LAB Type Rural Health Clinic
Facility Name NEWPORT PEDIATRICS GRAMMAR CLINIC
Street 301 COLLEGE ST
City NEWPORT
State TN
ZIP 37821
Phone 423 623-0653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Rural Health Clinic
Lab Director DR. SAMUEL M. PUCKETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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