44D0891486 CLIA NUMBER - PRIME MEDICAL GROUP PC O'RYAN BUILDING

Laboratory Demographics

  • CLIA Code: 44D0891486
  • Facility Name: PRIME MEDICAL GROUP PC O'RYAN BUILDING
  • Facility Address: 6005 PARK AVE STE 433B
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 761-4475
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HAIDER NAQVI MD
  • NPI Number: 1073624144
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0891486
LAB Type Physician Office
Facility Name PRIME MEDICAL GROUP PC O'RYAN BUILDING
Street 6005 PARK AVE STE 433B
City MEMPHIS
State TN
ZIP 38119
Phone 901 761-4475
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director HAIDER NAQVI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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