44D0720413 CLIA NUMBER - PRIMARY CARE GROUP LLC

Laboratory Demographics

  • CLIA Code: 44D0720413
  • Facility Name: PRIMARY CARE GROUP LLC
  • Facility Address: 1325 EASTMORELAND AVENUE STE #245
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: 901 516-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STANLEY W. DOWELL
  • NPI Number: 1093016651
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0720413
LAB Type Physician Office
Facility Name PRIMARY CARE GROUP LLC
Street 1325 EASTMORELAND AVENUE STE #245
City MEMPHIS
State TN
ZIP 38104
Phone 901 516-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. STANLEY W. DOWELL

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