CLIA lab

CLIA 44D1054566: Boone's Creek Medical PLLC

Jonesborough, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 44D1054566 belongs to Boone's Creek Medical PLLC in Jonesborough, TN.

Certificate of Waiver, effective May 24, 2026, expires May 23, 2028.

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 Waiver
Certificate effective
May 24, 2026
Certificate expiration
May 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 2006
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
44D1054566
Lab name
Boone's Creek Medical PLLC
Address
1000 West Jackson Blvd Suites 5&6, Jonesborough, TN 37659
Phone
(423) 741-3316
Fax
(423) 753-4784

Annual test volume the lab reported

Waived tests
100

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 Boone's Creek Medical PLLC in Jonesborough?

44D1054566, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boone's Creek Medical PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D1054566 expire?

The CMS file lists May 23, 2028 as the certificate expiration date; the certificate took effect May 24, 2026.

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