44D0314032 CLIA NUMBER - SUDHA R PRASAD MD

Laboratory Demographics

  • CLIA Code: 44D0314032
  • Facility Name: SUDHA R PRASAD MD
  • Facility Address: 3836 PARK AVENUE
    MEMPHIS, TN
    ZIP 38111
  • Facility Phone: 901 324-3984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHA R. PRASAD
  • NPI Number: 1013083781
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0314032
LAB Type Physician Office
Facility Name SUDHA R PRASAD MD
Street 3836 PARK AVENUE
City MEMPHIS
State TN
ZIP 38111
Phone 901 324-3984
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 SUDHA R. PRASAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025