44D2185713 CLIA NUMBER - ZUPMED

Laboratory Demographics

CLIA Number: 44D2185713

Facility Name: ZUPMED

Facility Address:
4576 POPLAR AVENUE
MEMPHIS, TN
ZIP 38117
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Facility Phone Number: 901 701-7010

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154980639

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2185713
LAB Type	Physician Office
Facility Name	ZUPMED
Street	4576 POPLAR AVENUE
City	MEMPHIS
State	TN
ZIP	38117
Phone	901 701-7010
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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