44D1036493 CLIA NUMBER - PREMIER PEDIATRICS OF MEMPHIS, PLLC DBA PREMIER PEDIATRICS OF CORDOVA

Laboratory Demographics

  • CLIA Code: 44D1036493
  • Facility Name: PREMIER PEDIATRICS OF MEMPHIS, PLLC DBA PREMIER PEDIATRICS OF CORDOVA
  • Facility Address: 1250 N GERMANTOWN PKWY, SUITE 115
    CORDOVA, TN
    ZIP 38016
  • Facility Phone: 901 259-9200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARY C. RAGGETT
  • NPI Number: 1477513992
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1036493
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS OF MEMPHIS, PLLC DBA PREMIER PEDIATRICS OF CORDOVA
Street 1250 N GERMANTOWN PKWY, SUITE 115
City CORDOVA
State TN
ZIP 38016
Phone 901 259-9200
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director MARY C. RAGGETT

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