44D1065308 CLIA NUMBER - WOMENS HEALTHCARE OFFICE OF OB/GYN PC

Laboratory Demographics

CLIA Number: 44D1065308

Facility Name: WOMENS HEALTHCARE OFFICE OF OB/GYN PC

Facility Address:
1920 KIRBY PARKWAY, SUITE 204
GERMANTOWN, TN
ZIP 38138
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Facility Phone Number: 901 345-4640

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1316089238

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	44D1065308
LAB Type	Physician Office
Facility Name	WOMENS HEALTHCARE OFFICE OF OB/GYN PC
Street	1920 KIRBY PARKWAY, SUITE 204
City	GERMANTOWN
State	TN
ZIP	38138
Phone	901 345-4640
CertificateType	3
CertificateEffectiveDate	6/12/2023
CertificateExpirationDate	6/11/2025
FacilityType	PPMP

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