44D0314806 CLIA NUMBER - UT MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 44D0314806
  • Facility Name: UT MEDICAL GROUP INC
  • Facility Address: 1301 PRIMACY PARKWAY
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 866-8812
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. ANNA CHOLLET
  • NPI Number: 1336643121
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 44D0314806
LAB Type Community Clinic
Facility Name UT MEDICAL GROUP INC
Street 1301 PRIMACY PARKWAY
City MEMPHIS
State TN
ZIP 38119
Phone 901 866-8812
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 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Community Clinic
Lab Director DR. ANNA CHOLLET

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