44D2049386 CLIA NUMBER - UTMG DERMATOPATHOLOGY LAB DBA UT DERMPATH

Laboratory Demographics

  • CLIA Code: 44D2049386
  • Facility Name: UTMG DERMATOPATHOLOGY LAB DBA UT DERMPATH
  • Facility Address: 930 MADISON AVE, STE 890 8TH FL
    MEMPHIS, TN
    ZIP 38103
  • Facility Phone: 901 866-8834
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. M. BARRY RANDALL
  • NPI Number: 1922343623
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 44D2049386
LAB Type Independent
Facility Name UTMG DERMATOPATHOLOGY LAB DBA UT DERMPATH
Street 930 MADISON AVE, STE 890 8TH FL
City MEMPHIS
State TN
ZIP 38103
Phone 901 866-8834
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Independent
Lab Director DR. M. BARRY RANDALL

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