44D0314935 CLIA NUMBER - MEMPHIS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 44D0314935
  • Facility Name: MEMPHIS HEALTH CENTER
  • Facility Address: 360 EAST E H CRUMP BLVD
    MEMPHIS, TN
    ZIP 38126
  • Facility Phone: 901 261-2077
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ROBERT DECOLLI
  • NPI Number: 1124326327
  • Taxonomy: 261QF0400X - Clinic/Center

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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
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 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Federally Qualified Health Center
Lab Director ROBERT DECOLLI

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This page was last updated on: 6/4/2025