44D2184317 CLIA NUMBER - CHURCH HEALTH CENTER OF MEMPHIS, INC DBA MEMPHIS AREA PREVENTION COALITION

Laboratory Demographics

CLIA Number: 44D2184317

Facility Name: CHURCH HEALTH CENTER OF MEMPHIS, INC DBA MEMPHIS AREA PREVENTION COALITION

Facility Address:
1207 PEABODY AVE SUITE 324 ATTN TIFFINY WRIGHT
MEMPHIS, TN
ZIP 38104
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Facility Phone Number: 901 249-2828

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1427030907

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2184317
LAB Type	Mobile Laboratory
Facility Name	CHURCH HEALTH CENTER OF MEMPHIS, INC DBA MEMPHIS AREA PREVENTION COALITION
Street	1207 PEABODY AVE SUITE 324 ATTN TIFFINY WRIGHT
City	MEMPHIS
State	TN
ZIP	38104
Phone	901 249-2828
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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