44D0722987 CLIA NUMBER - NORTH INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 44D0722987
  • Facility Name: NORTH INTERNAL MEDICINE PC
  • Facility Address: 7378 YALE RD
    MEMPHIS, TN
    ZIP 38133
  • Facility Phone: 901 387-0193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS L. ODEA
  • NPI Number: 1518982008
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0722987
LAB Type Physician Office
Facility Name NORTH INTERNAL MEDICINE PC
Street 7378 YALE RD
City MEMPHIS
State TN
ZIP 38133
Phone 901 387-0193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director DR. DOUGLAS L. ODEA

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