44D1050396 CLIA NUMBER - CAPE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 44D1050396
  • Facility Name: CAPE SURGERY CENTER LLC
  • Facility Address: 401 TICKLE STREET EAST
    DYERSBURG, TN
    ZIP 38024
  • Facility Phone: 731 286-2801
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD C. CAPE
  • NPI Number: 1023039195
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1050396
LAB Type Ambulatory Surgery Center
Facility Name CAPE SURGERY CENTER LLC
Street 401 TICKLE STREET EAST
City DYERSBURG
State TN
ZIP 38024
Phone 731 286-2801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD C. CAPE

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