44D1087942 CLIA NUMBER - MEMPHIS SURGERY CENTER, LTD , LP DBA MEMPHIS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 44D1087942
  • Facility Name: MEMPHIS SURGERY CENTER, LTD , LP DBA MEMPHIS SURGERY CENTER
  • Facility Address: 1044 CRESTHAVEN ROAD
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 682-1516
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID DUNAVANT III
  • NPI Number: 1003871104
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1087942
LAB Type Ambulatory Surgery Center
Facility Name MEMPHIS SURGERY CENTER, LTD , LP DBA MEMPHIS SURGERY CENTER
Street 1044 CRESTHAVEN ROAD
City MEMPHIS
State TN
ZIP 38119
Phone 901 682-1516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID DUNAVANT III

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