44D1054769 CLIA NUMBER - MICHAEL WOODBURY, MD

Laboratory Demographics

  • CLIA Code: 44D1054769
  • Facility Name: MICHAEL WOODBURY, MD
  • Facility Address: 1458 W POPLAR AVE SUITE 202
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 381-1173
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL J. WOODBURY
  • NPI Number: 1154313591
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 44D1054769
LAB Type Physician Office
Facility Name MICHAEL WOODBURY, MD
Street 1458 W POPLAR AVE SUITE 202
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 381-1173
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 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DR. MICHAEL J. WOODBURY

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