44D2164569 CLIA NUMBER - UCH VASCULAR ACCESS ASC, LLC

Laboratory Demographics

CLIA Number: 44D2164569

Facility Name: UCH VASCULAR ACCESS ASC, LLC

Facility Address:
6490 MT MORIAH EXT SUITE 202
MEMPHIS, TN
ZIP 38115
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Facility Phone Number: 901 866-8425

Facility Type: Ambulatory Surgery Center

Certificate Type: Accreditation

NPI Number: 1619487782

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2164569
LAB Type	Ambulatory Surgery Center
Facility Name	UCH VASCULAR ACCESS ASC, LLC
Street	6490 MT MORIAH EXT SUITE 202
City	MEMPHIS
State	TN
ZIP	38115
Phone	901 866-8425
CertificateType	1
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024