44D2329991 CLIA NUMBER - WALLISER MEDICAL CENTER DBA SENTEF MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 44D2329991
  • Facility Name: WALLISER MEDICAL CENTER DBA SENTEF MEDICAL CENTER
  • Facility Address: 9380 BRADMORE LANE SUITE 104
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 760-4630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN E. WALLISER
  • NPI Number: 1538958574
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2329991
LAB Type Physician Office
Facility Name WALLISER MEDICAL CENTER DBA SENTEF MEDICAL CENTER
Street 9380 BRADMORE LANE SUITE 104
City OOLTEWAH
State TN
ZIP 37363
Phone 423 760-4630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director LAUREN E. WALLISER

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