44D0939289 CLIA NUMBER - CROSSROADS HOSPICE OF TENNESSEE LLC

Laboratory Demographics

CLIA Number: 44D0939289

Facility Name: CROSSROADS HOSPICE OF TENNESSEE LLC

Facility Address:
1669 SHELBY OAKS DRIVE #106
MEMPHIS, TN
ZIP 38134
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Facility Phone Number: 901 382-9292

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1629733779

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	44D0939289
LAB Type	Hospice
Facility Name	CROSSROADS HOSPICE OF TENNESSEE LLC
Street	1669 SHELBY OAKS DRIVE #106
City	MEMPHIS
State	TN
ZIP	38134
Phone	901 382-9292
CertificateType	4
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024