44D2051195 CLIA NUMBER - CAMPBELL CLINIC-COLLIERVILLE

Laboratory Demographics

  • CLIA Code: 44D2051195
  • Facility Name: CAMPBELL CLINIC-COLLIERVILLE
  • Facility Address: 1900 WEST POPLAR AVENUE
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 759-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID R. RICHARDSON
  • NPI Number: 1619152642
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D2051195
LAB Type Physician Office
Facility Name CAMPBELL CLINIC-COLLIERVILLE
Street 1900 WEST POPLAR AVENUE
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 759-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. DAVID R. RICHARDSON

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