44D0315064 CLIA NUMBER - AVE MARIA HOME

Laboratory Demographics

  • CLIA Code: 44D0315064
  • Facility Name: AVE MARIA HOME
  • Facility Address: 2805 CHARLES BRYAN RD
    MEMPHIS, TN
    ZIP 38134
  • Facility Phone: 901 382-5817
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELBERT MD E. HINES
  • NPI Number: 1831250604
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0315064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVE MARIA HOME
Street 2805 CHARLES BRYAN RD
City MEMPHIS
State TN
ZIP 38134
Phone 901 382-5817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ELBERT MD E. HINES

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