44D0314405 CLIA NUMBER - TANENBAUM DERMATOLOGY CENTER PLC,THE

Laboratory Demographics

  • CLIA Code: 44D0314405
  • Facility Name: TANENBAUM DERMATOLOGY CENTER PLC,THE
  • Facility Address: 760 BROOKHAVEN CIRCLE
    MEMPHIS, TN
    ZIP 38117
  • Facility Phone: 901 761-0500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ALAN H. TANENBAUM
  • NPI Number: 1144413147
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 44D0314405
LAB Type Physician Office
Facility Name TANENBAUM DERMATOLOGY CENTER PLC,THE
Street 760 BROOKHAVEN CIRCLE
City MEMPHIS
State TN
ZIP 38117
Phone 901 761-0500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director DR. ALAN H. TANENBAUM

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