44D1025145 CLIA NUMBER - EYE CARE SURGERY CENTER OF MEMPHIS

Laboratory Demographics

CLIA Number: 44D1025145

Facility Name: EYE CARE SURGERY CENTER OF MEMPHIS

Facility Address:
5350 POPLAR AVENUE SUITE #950
MEMPHIS, TN
ZIP 38119
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Facility Phone Number: 901 683-4600

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1396828323

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D1025145
LAB Type	Ambulatory Surgery Center
Facility Name	EYE CARE SURGERY CENTER OF MEMPHIS
Street	5350 POPLAR AVENUE SUITE #950
City	MEMPHIS
State	TN
ZIP	38119
Phone	901 683-4600
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024