44D2120076 CLIA NUMBER - SHELBY COUNTY HEALTHCARE CORP DBA REGIONAL ONE HEALTH

Laboratory Demographics

  • CLIA Code: 44D2120076
  • Facility Name: SHELBY COUNTY HEALTHCARE CORP DBA REGIONAL ONE HEALTH
  • Facility Address: 6555 QUINCE RD
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 545-8223
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SYED HASAN RAZA
  • NPI Number: 1245603620
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2120076
LAB Type Physician Office
Facility Name SHELBY COUNTY HEALTHCARE CORP DBA REGIONAL ONE HEALTH
Street 6555 QUINCE RD
City MEMPHIS
State TN
ZIP 38119
Phone 901 545-8223
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director DR. SYED HASAN RAZA

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This page was last updated on: 6/4/2025