44D0981759 CLIA NUMBER - BONK INTERNAL MEDICINE INC AMY BONK CHANIN MSPAC

Laboratory Demographics

  • CLIA Code: 44D0981759
  • Facility Name: BONK INTERNAL MEDICINE INC AMY BONK CHANIN MSPAC
  • Facility Address: 5565 MURRAY AVE SUITE 200
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 761-1850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY BONK CHANIN
  • NPI Number: 1972920452
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0981759
LAB Type Physician Office
Facility Name BONK INTERNAL MEDICINE INC AMY BONK CHANIN MSPAC
Street 5565 MURRAY AVE SUITE 200
City MEMPHIS
State TN
ZIP 38119
Phone 901 761-1850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director AMY BONK CHANIN

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