25D0677021 CLIA NUMBER - MEMPHIS CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 25D0677021
  • Facility Name: MEMPHIS CHILDRENS CLINIC
  • Facility Address: 7672 AIRWAYS
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 349-2555
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HARRY PHILLIPS
  • NPI Number: 1790865616
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D0677021
LAB Type Physician Office
Facility Name MEMPHIS CHILDRENS CLINIC
Street 7672 AIRWAYS
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 349-2555
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director HARRY PHILLIPS

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