44D2102003 CLIA NUMBER - CHARLES RETINA INSTITUTE

Laboratory Demographics

  • CLIA Code: 44D2102003
  • Facility Name: CHARLES RETINA INSTITUTE
  • Facility Address: 1432 KIMBROUGH RD
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 767-4499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN CHARLES
  • NPI Number: 1477556306
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2102003
LAB Type Physician Office
Facility Name CHARLES RETINA INSTITUTE
Street 1432 KIMBROUGH RD
City GERMANTOWN
State TN
ZIP 38138
Phone 901 767-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director STEVEN CHARLES

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