44D2168782 CLIA NUMBER - CROSSROADS URGENT CARE DBA URGNT TEAM

Laboratory Demographics

  • CLIA Code: 44D2168782
  • Facility Name: CROSSROADS URGENT CARE DBA URGNT TEAM
  • Facility Address: 8350 HWY 64 SUITE 103
    BARTLETT, TN
    ZIP 38133
  • Facility Phone: 901 730-6003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK W. FOWLER
  • NPI Number: 1124918354
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2168782
LAB Type Physician Office
Facility Name CROSSROADS URGENT CARE DBA URGNT TEAM
Street 8350 HWY 64 SUITE 103
City BARTLETT
State TN
ZIP 38133
Phone 901 730-6003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director DR. MARK W. FOWLER

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