44D0659366 CLIA NUMBER - MID-SOUTH TRANSPLANT FOUNDATION HISTOCOMPATABILITY LABORATORY

Laboratory Demographics

CLIA Number: 44D0659366

Facility Name: MID-SOUTH TRANSPLANT FOUNDATION HISTOCOMPATABILITY LABORATORY

Facility Address:
8001 CENTERVIEW PARKWAY, SUITE 302
CORDOVA, TN
ZIP 38018
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Facility Phone Number: 901 328-4438

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1154543577

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	44D0659366
LAB Type	Independent
Facility Name	MID-SOUTH TRANSPLANT FOUNDATION HISTOCOMPATABILITY LABORATORY
Street	8001 CENTERVIEW PARKWAY, SUITE 302
City	CORDOVA
State	TN
ZIP	38018
Phone	901 328-4438
CertificateType	1
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Accreditation

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