44D0704101 CLIA NUMBER - MUSE PRIMARY CARE & OBSTETRICS, PLLC

Laboratory Demographics

  • CLIA Code: 44D0704101
  • Facility Name: MUSE PRIMARY CARE & OBSTETRICS, PLLC
  • Facility Address: 6005 PARK AVE SUITE 501
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 590-2565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATOSHA MUSE
  • NPI Number: 1154710184
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D0704101
LAB Type Physician Office
Facility Name MUSE PRIMARY CARE & OBSTETRICS, PLLC
Street 6005 PARK AVE SUITE 501
City MEMPHIS
State TN
ZIP 38119
Phone 901 590-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director KATOSHA MUSE

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