44D0957613 CLIA NUMBER - MEMPHIS CHILDREN'S CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 44D0957613
  • Facility Name: MEMPHIS CHILDREN'S CLINIC PLLC
  • Facility Address: 3155 KIRBY WHITTEN ROAD
    BARTLETT, TN
    ZIP 38134
  • Facility Phone: 901 379-0092
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHEN T. BAUCH
  • NPI Number: 1477633303
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D0957613
LAB Type Physician Office
Facility Name MEMPHIS CHILDREN'S CLINIC PLLC
Street 3155 KIRBY WHITTEN ROAD
City BARTLETT
State TN
ZIP 38134
Phone 901 379-0092
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director DR. STEPHEN T. BAUCH

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