44D1000194 CLIA NUMBER - YUKON CLINIC

Laboratory Demographics

  • CLIA Code: 44D1000194
  • Facility Name: YUKON CLINIC
  • Facility Address: 7675 WOLF RIVER CIRCLE #102
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 755-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES L. YUKON, MD
  • NPI Number: 1225245814
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1000194
LAB Type Physician Office
Facility Name YUKON CLINIC
Street 7675 WOLF RIVER CIRCLE #102
City GERMANTOWN
State TN
ZIP 38138
Phone 901 755-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director CHARLES L. YUKON, MD

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