44D1076130 CLIA NUMBER - BAPTIST-EMSC LP D/B/A EAST MEMPHIS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D1076130
  • Facility Name: BAPTIST-EMSC LP D/B/A EAST MEMPHIS SURGERY CENTER
  • Facility Address: 80 HUMPHREYS CENTER DRIVE SUITE #101
    MEMPHIS, TN
    ZIP 38120
  • Facility Phone: 901 747-3233
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM H. KUTTEH MD
  • NPI Number: 1720080823
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1076130
LAB Type Ambulatory Surgery Center
Facility Name BAPTIST-EMSC LP D/B/A EAST MEMPHIS SURGERY CENTER
Street 80 HUMPHREYS CENTER DRIVE SUITE #101
City MEMPHIS
State TN
ZIP 38120
Phone 901 747-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM H. KUTTEH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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