44D0921783 CLIA NUMBER - PRIMUS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 44D0921783
  • Facility Name: PRIMUS MEDICAL GROUP
  • Facility Address: 1264 WESLEY DRIVE SUITE 206
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 901 346-6566
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN F. EVANS MD
  • NPI Number: 1710028493
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0921783
LAB Type Physician Office
Facility Name PRIMUS MEDICAL GROUP
Street 1264 WESLEY DRIVE SUITE 206
City MEMPHIS
State TN
ZIP 38116
Phone 901 346-6566
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 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director BENJAMIN F. EVANS MD

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