44D2084321 CLIA NUMBER - SATELLITE HEALTHCARE-SOUTH GERMANTOWN, LLC

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Laboratory Demographics

CLIA Number: 44D2084321

Facility Name: SATELLITE HEALTHCARE-SOUTH GERMANTOWN, LLC

Facility Address:
6548 QUINCE RD
MEMPHIS, TN
ZIP 38119
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Facility Phone Number: 901 259-3423

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1972914273

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2084321
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SATELLITE HEALTHCARE-SOUTH GERMANTOWN, LLC
Street	6548 QUINCE RD
City	MEMPHIS
State	TN
ZIP	38119
Phone	901 259-3423
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024