44D2108389 CLIA NUMBER - MEMPHIS EYE AND CATARACT ASSOC

Laboratory Demographics

  • CLIA Code: 44D2108389
  • Facility Name: MEMPHIS EYE AND CATARACT ASSOC
  • Facility Address: 6485 POPLAR AVE 1ST FLOOR
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 767-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY S. PETTY
  • NPI Number: 1043271224
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D2108389
LAB Type Physician Office
Facility Name MEMPHIS EYE AND CATARACT ASSOC
Street 6485 POPLAR AVE 1ST FLOOR
City MEMPHIS
State TN
ZIP 38119
Phone 901 767-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director KELLY S. PETTY

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