44D0314286 CLIA NUMBER - GREEN CLINIC PC,THE

Laboratory Demographics

  • CLIA Code: 44D0314286
  • Facility Name: GREEN CLINIC PC,THE
  • Facility Address: 5220 PARK AVE, SUITE 150
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 755-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER B. GREEN MD
  • NPI Number: 1306018791
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0314286
LAB Type Physician Office
Facility Name GREEN CLINIC PC,THE
Street 5220 PARK AVE, SUITE 150
City MEMPHIS
State TN
ZIP 38119
Phone 901 755-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director CHRISTOPHER B. GREEN MD

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