44D0940782 CLIA NUMBER - LAKESIDE BEHAVIORAL HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 44D0940782
  • Facility Name: LAKESIDE BEHAVIORAL HEALTH SYSTEM
  • Facility Address: 2911 BRUNSWICK ROAD
    MEMPHIS, TN
    ZIP 38133
  • Facility Phone: 901 377-4701
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: CHARRII BRANDON
  • NPI Number: 1659794519
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 44D0940782
LAB Type Hospital
Facility Name LAKESIDE BEHAVIORAL HEALTH SYSTEM
Street 2911 BRUNSWICK ROAD
City MEMPHIS
State TN
ZIP 38133
Phone 901 377-4701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Hospital
Lab Director CHARRII BRANDON

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