44D0314203 CLIA NUMBER - KIRBY PINES MANOR

Laboratory Demographics

  • CLIA Code: 44D0314203
  • Facility Name: KIRBY PINES MANOR
  • Facility Address: 3535 KIRBY RD
    MEMPHIS, TN
    ZIP 38115
  • Facility Phone: 901 365-0772
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA W. COOPER
  • NPI Number: 1407071616
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0314203
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KIRBY PINES MANOR
Street 3535 KIRBY RD
City MEMPHIS
State TN
ZIP 38115
Phone 901 365-0772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PATRICIA W. COOPER

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