LAFOLLETTE URGENT CARE
NPI 1346854064
Clinic/Center - Urgent Care in Clinton, TN
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 44D2165759
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-05-2027
About LAFOLLETTE URGENT CARE
This page provides the complete NPI Profile along with additional information for Lafollette Urgent Care, a provider established in Clinton, Tennessee operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1346854064 assigned on September 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lafollette Urgent Care. The authorized official of this NPI record is Patricia Ann Eberharter (Chief Officer/owner)
- NPI
- 1346854064 Verify this NPI
- Provider Legal Name
- JACKSBORO URGENT CARE LLC
- Other Organization Name
- LAFOLLETTE URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2130 N CHARLES G SEIVERS BLVD STE 3 CLINTON, TN 37716
- Location Phone
- (423) 437-8576
- Location Fax
- (423) 437-8556
- Mailing Address
- 2707 JACKSBORO PIKE STE 2 JACKSBORO, TN 37757
- Mailing Phone
- (423) 437-8576
- Mailing Fax
- (423) 437-8556
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-01-2020
- Last Update Date
- 07-25-2024
- Code Navigator
Location Map
Secondary Locations
- 304 E Central Ave
LA Follette, TN 37766
(423) 437-8612
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2165759
- Facility Type
- Physician Office
- Certificate Effective Date
- May 06, 2025
- Certificate Expiration Date
- May 05, 2027
- Laboratory Director
- PATRICIA A. EBERHARTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lafollette Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CLINTON, TN 37716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346854064, enumerated as an "organization" on September 01, 2020.
The provider is located at 2130 N CHARLES G SEIVERS BLVD STE 3 CLINTON, TN 37716 and the phone number is (423) 437-8576.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
