44D2108382 CLIA NUMBER - TRI STATE COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 44D2108382

Facility Name: TRI STATE COMMUNITY HEALTH CENTER

Facility Address:
4041 KNIGHT ARNOLD RD #100
MEMPHIS, TN
ZIP 38118
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Facility Phone Number: 901 360-0442

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1285002634

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2108382
LAB Type	Federally Qualified Health Center
Facility Name	TRI STATE COMMUNITY HEALTH CENTER
Street	4041 KNIGHT ARNOLD RD #100
City	MEMPHIS
State	TN
ZIP	38118
Phone	901 360-0442
CertificateType	3
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	PPMP

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