44D2175249 CLIA NUMBER - SOUTHERN COLLEGE OF OPTOMETRY

Laboratory Demographics

  • CLIA Code: 44D2175249
  • Facility Name: SOUTHERN COLLEGE OF OPTOMETRY
  • Facility Address: 1245 MADISON AVE
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: 901 722-3200
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL T. CHRISTENSEN
  • NPI Number: 1851676696
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2175249
LAB Type School/Student Health Service
Facility Name SOUTHERN COLLEGE OF OPTOMETRY
Street 1245 MADISON AVE
City MEMPHIS
State TN
ZIP 38104
Phone 901 722-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type School/Student Health Service
Lab Director DR. MICHAEL T. CHRISTENSEN

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