44D0313862 CLIA NUMBER - PERISCO WOFFORD MD MEDICAL DOCTOR

Laboratory Demographics

  • CLIA Code: 44D0313862
  • Facility Name: PERISCO WOFFORD MD MEDICAL DOCTOR
  • Facility Address: 4567 MILLBRANCH RD
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 901 345-1454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PERISCO WOFFORD MD
  • NPI Number: 1922000918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0313862
LAB Type Physician Office
Facility Name PERISCO WOFFORD MD MEDICAL DOCTOR
Street 4567 MILLBRANCH RD
City MEMPHIS
State TN
ZIP 38116
Phone 901 345-1454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. PERISCO WOFFORD MD

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