44D1069781 CLIA NUMBER - SHOT NURSE MEMPHIS-PC THE

Laboratory Demographics

  • CLIA Code: 44D1069781
  • Facility Name: SHOT NURSE MEMPHIS-PC THE
  • Facility Address: 714 N GERMANTOWN PARKWAY SUITE #11
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 901 685-9999
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DEBORAH Y. OVERALL
  • NPI Number: 1275941106
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1069781
LAB Type Community Clinic
Facility Name SHOT NURSE MEMPHIS-PC THE
Street 714 N GERMANTOWN PARKWAY SUITE #11
City CORDOVA
State TN
ZIP 38018
Phone 901 685-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Community Clinic
Lab Director DEBORAH Y. OVERALL

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