44D2120407 CLIA NUMBER - FONER MEDICAL DBA CARE MEMPHIS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2120407
  • Facility Name: FONER MEDICAL DBA CARE MEMPHIS CLINIC, PLLC
  • Facility Address: 493 DR M L KING JR AVENUE
    MEMPHIS, TN
    ZIP 38126
  • Facility Phone: 901 526-7695
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MELISSA FONER
  • NPI Number: 1396192746
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2120407
LAB Type Practitioner Other
Facility Name FONER MEDICAL DBA CARE MEMPHIS CLINIC, PLLC
Street 493 DR M L KING JR AVENUE
City MEMPHIS
State TN
ZIP 38126
Phone 901 526-7695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Practitioner Other
Lab Director MELISSA FONER

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