44D0314478 CLIA NUMBER - WILLYN JENKINS MD

Laboratory Demographics

  • CLIA Code: 44D0314478
  • Facility Name: WILLYN JENKINS MD
  • Facility Address: 5180 PARK AVENUE, SUITE 200
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 542-0600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLYN J. JENKINS
  • NPI Number: 1841244720
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0314478
LAB Type Physician Office
Facility Name WILLYN JENKINS MD
Street 5180 PARK AVENUE, SUITE 200
City MEMPHIS
State TN
ZIP 38119
Phone 901 542-0600
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WILLYN J. JENKINS

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