44D1015497 CLIA NUMBER - WOLFCHASE FAMILY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 44D1015497
  • Facility Name: WOLFCHASE FAMILY MEDICAL CARE
  • Facility Address: 8485 US HIGHWAY 64 SUITE 101
    MEMPHIS, TN
    ZIP 38133
  • Facility Phone: 901 377-3001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN R. WICKMAN MD
  • NPI Number: 1437497377
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D1015497
LAB Type Physician Office
Facility Name WOLFCHASE FAMILY MEDICAL CARE
Street 8485 US HIGHWAY 64 SUITE 101
City MEMPHIS
State TN
ZIP 38133
Phone 901 377-3001
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 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director JOHN R. WICKMAN MD

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