44D0967246 CLIA NUMBER - CRESCENT MEDICAL, INC

Laboratory Demographics

  • CLIA Code: 44D0967246
  • Facility Name: CRESCENT MEDICAL, INC
  • Facility Address: 1264 WESLEY DRIVE, SUITE 501
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 901 346-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AHSAN H. KATHAWALA
  • NPI Number: 1295926590
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0967246
LAB Type Physician Office
Facility Name CRESCENT MEDICAL, INC
Street 1264 WESLEY DRIVE, SUITE 501
City MEMPHIS
State TN
ZIP 38116
Phone 901 346-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director DR. AHSAN H. KATHAWALA

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