44D2081214 CLIA NUMBER - SPECIALTY PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 44D2081214
  • Facility Name: SPECIALTY PHYSICIAN GROUP, LLC
  • Facility Address: 1211 UNION AVE, SUITE 965
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: (901) 435-8550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUWASEUN A. AKINSEYE
  • NPI Number: 1174842181
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2081214
LAB Type Physician Office
Facility Name SPECIALTY PHYSICIAN GROUP, LLC
Street 1211 UNION AVE, SUITE 965
City MEMPHIS
State TN
ZIP 38104
Phone 9014358550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director OLUWASEUN A. AKINSEYE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026