44D0314935 CLIA NUMBER - MEMPHIS HEALTH CENTER

Laboratory Demographics

CLIA Number: 44D0314935

Facility Name: MEMPHIS HEALTH CENTER

Facility Address:
360 EAST E H CRUMP BLVD
MEMPHIS, TN
ZIP 38126
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Facility Phone Number: 901 261-2077

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1124326327

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0314935
LAB Type	Federally Qualified Health Center
Facility Name	MEMPHIS HEALTH CENTER
Street	360 EAST E H CRUMP BLVD
City	MEMPHIS
State	TN
ZIP	38126
Phone	901 261-2077
CertificateType	3
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024