44D1103773 CLIA NUMBER - DARSALUD COMMUNITY CENTER INC

Laboratory Demographics

  • CLIA Code: 44D1103773
  • Facility Name: DARSALUD COMMUNITY CENTER INC
  • Facility Address: 6063 MT MORIAH EXTENDED, SUITE 4
    MEMPHIS, TN
    ZIP 38115
  • Facility Phone: 901 922-5951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO A. VELASQUEZ
  • NPI Number: 1174184709
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 44D1103773
LAB Type Physician Office
Facility Name DARSALUD COMMUNITY CENTER INC
Street 6063 MT MORIAH EXTENDED, SUITE 4
City MEMPHIS
State TN
ZIP 38115
Phone 901 922-5951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director PEDRO A. VELASQUEZ

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