CLIA lab
CLIA 44D0977124: Cedar Creek Pediatric & Adolescent Medicine PC
Maryville, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0977124 belongs to Cedar Creek Pediatric & Adolescent Medicine PC in Maryville, TN.
Certificate of Compliance, effective January 24, 2025, expires January 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- January 24, 2025
- Certificate expiration
- January 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2000
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D0977124
- Lab name
- Cedar Creek Pediatric & Adolescent Medicine PC
- Address
- 616 Smithview Drive, Maryville, TN 37803
- Phone
- (865) 379-2277
- Fax
- (865) 379-2212
Annual test volume the lab reported
- Waived tests
- 2,400
- Other nonwaived tests
- 7,000
- Total
- 9,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Cedar Creek Pediatric & Adolescent Medicine PC in Maryville?
44D0977124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cedar Creek Pediatric & Adolescent Medicine PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 44D0977124 expire?
The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.