44D2171161 CLIA NUMBER - RIVERDALE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 44D2171161
  • Facility Name: RIVERDALE HOME TRAINING
  • Facility Address: 5144 RIVERDALE ROAD SUITE 103
    MEMPHIS, TN
    ZIP 38141
  • Facility Phone: 901 752-5425
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NILOOFAR BAYMILLER
  • NPI Number: 1386298560
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2171161
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERDALE HOME TRAINING
Street 5144 RIVERDALE ROAD SUITE 103
City MEMPHIS
State TN
ZIP 38141
Phone 901 752-5425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NILOOFAR BAYMILLER

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