CLIA lab

CLIA 44D1084724: Family Practice of Crossville

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

CLIA number 44D1084724 belongs to Family Practice of Crossville in Crossville, TN.

Certificate of Waiver, effective November 1, 2025, expires October 31, 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 Waiver
Certificate effective
November 1, 2025
Certificate expiration
October 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 2, 2008
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
44D1084724
Lab name
Family Practice of Crossville
Additional name
Victor Anthony Shada DO PC
Address
1264 Dayton Ave, Crossville, TN 38555
Phone
(931) 484-4560
Fax
(931) 484-1480

Annual test volume the lab reported

Waived tests
940

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Crossville, TN

Related

Questions

What is the CLIA number for Family Practice of Crossville in Crossville?

44D1084724, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Practice of Crossville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D1084724 expire?

The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.

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