44D2148622 CLIA NUMBER - CAMELOT CARE CENTERS, LLC DBA CLARVIDA

Laboratory Demographics

  • CLIA Code: 44D2148622
  • Facility Name: CAMELOT CARE CENTERS, LLC DBA CLARVIDA
  • Facility Address: 2610 CORPORATE AVE, STE 100
    MEMPHIS, TN
    ZIP 38132
  • Facility Phone: 901 346-1270
  • Facility Type: Other - COMMUNITY MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: PAM R. NIEDERGESES
  • NPI Number: 1831397645
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2148622
LAB Type Other - COMMUNITY MENTAL HEALTH
Facility Name CAMELOT CARE CENTERS, LLC DBA CLARVIDA
Street 2610 CORPORATE AVE, STE 100
City MEMPHIS
State TN
ZIP 38132
Phone 901 346-1270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - COMMUNITY MENTAL HEALTH
Lab Director PAM R. NIEDERGESES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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