44D2065222 CLIA NUMBER - DSI MEMPHIS, LLC DBA US RENAL CARE SOUTHWEST WHITEHAVEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2065222
  • Facility Name: DSI MEMPHIS, LLC DBA US RENAL CARE SOUTHWEST WHITEHAVEN DIALYSIS
  • Facility Address: 4711 NEELY RD
    MEMPHIS, TN
    ZIP 38109
  • Facility Phone: 901 789-2290
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PERISCO WOFFORD
  • NPI Number: 1326480997
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2065222
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI MEMPHIS, LLC DBA US RENAL CARE SOUTHWEST WHITEHAVEN DIALYSIS
Street 4711 NEELY RD
City MEMPHIS
State TN
ZIP 38109
Phone 901 789-2290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PERISCO WOFFORD

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