44D2108917 CLIA NUMBER - MAKARIOS GROUP 3 LLC/NEW LIFE MEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 44D2108917
  • Facility Name: MAKARIOS GROUP 3 LLC/NEW LIFE MEN'S HEALTH
  • Facility Address: 9160 HWY 64 STE 105
    LAKELAND, TN
    ZIP 38002
  • Facility Phone: 901 213-0100
  • Facility Type: Other - MEN'S HEALTH TRT CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD ELDRED
  • NPI Number: 1275962763
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2108917
LAB Type Other - MEN'S HEALTH TRT CLINIC
Facility Name MAKARIOS GROUP 3 LLC/NEW LIFE MEN'S HEALTH
Street 9160 HWY 64 STE 105
City LAKELAND
State TN
ZIP 38002
Phone 901 213-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Other - MEN'S HEALTH TRT CLINIC
Lab Director DR. EDWARD ELDRED

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