44D0978703 CLIA NUMBER - BAPTIST MEMORIAL MEDICAL GROUP DBA BMG CENTER FOR URINARY AND PELVIC DISORDER

Laboratory Demographics

  • CLIA Code: 44D0978703
  • Facility Name: BAPTIST MEMORIAL MEDICAL GROUP DBA BMG CENTER FOR URINARY AND PELVIC DISORDER
  • Facility Address: 6215 HUMPHREYS BLVD SUITE 110
    MEMPHIS, TN
    ZIP 38120
  • Facility Phone: 901 227-9610
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. GREGORY S. PORTERA
  • NPI Number: 1568498046
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 44D0978703
LAB Type Hospital
Facility Name BAPTIST MEMORIAL MEDICAL GROUP DBA BMG CENTER FOR URINARY AND PELVIC DISORDER
Street 6215 HUMPHREYS BLVD SUITE 110
City MEMPHIS
State TN
ZIP 38120
Phone 901 227-9610
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Hospital
Lab Director DR. GREGORY S. PORTERA

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