44D0986936 CLIA NUMBER - GERMANTOWN AMBULATORY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 44D0986936
  • Facility Name: GERMANTOWN AMBULATORY SURGICAL CENTER
  • Facility Address: 7499 POPLAR PIKE
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 756-5474
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PHILLIP LANGSDON MD
  • NPI Number: 1033325410
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0986936
LAB Type Ambulatory Surgery Center
Facility Name GERMANTOWN AMBULATORY SURGICAL CENTER
Street 7499 POPLAR PIKE
City GERMANTOWN
State TN
ZIP 38138
Phone 901 756-5474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Ambulatory Surgery Center
Lab Director PHILLIP LANGSDON MD

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