44D0314838 CLIA NUMBER - HANISSIAN CLINIC PC

Laboratory Demographics

  • CLIA Code: 44D0314838
  • Facility Name: HANISSIAN CLINIC PC
  • Facility Address: 2101 MERCHANTS ROW SUITE #3
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 751-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY A. HANISSIAN MD
  • NPI Number: 1417147067
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 44D0314838
LAB Type Physician Office
Facility Name HANISSIAN CLINIC PC
Street 2101 MERCHANTS ROW SUITE #3
City GERMANTOWN
State TN
ZIP 38138
Phone 901 751-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director GREGORY A. HANISSIAN MD

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