44D2112602 CLIA NUMBER - CRESTWYN HEALTHCARE GROUP LLC

Laboratory Demographics

  • CLIA Code: 44D2112602
  • Facility Name: CRESTWYN HEALTHCARE GROUP LLC
  • Facility Address: 9485 CRESTWYN HILLS DRIVE
    MEMPHIS, TN
    ZIP 38125
  • Facility Phone: 844 309-7545
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SARA GRAMLING-VANSCOY
  • NPI Number: 1417458944
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 44D2112602
LAB Type Hospital
Facility Name CRESTWYN HEALTHCARE GROUP LLC
Street 9485 CRESTWYN HILLS DRIVE
City MEMPHIS
State TN
ZIP 38125
Phone 844 309-7545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Hospital
Lab Director SARA GRAMLING-VANSCOY

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