44D2213016 CLIA NUMBER - TRINITY COMPREHENSIVE HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 44D2213016

Facility Name: TRINITY COMPREHENSIVE HEALTHCARE CENTER

Facility Address:
2838 HICKORY HILL ROAD, SUITE 29-30
MEMPHIS, TN
ZIP 38115
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Facility Phone Number: 901 676-6218

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1881284891

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	44D2213016
LAB Type	Practitioner Other
Facility Name	TRINITY COMPREHENSIVE HEALTHCARE CENTER
Street	2838 HICKORY HILL ROAD, SUITE 29-30
City	MEMPHIS
State	TN
ZIP	38115
Phone	901 676-6218
CertificateType	4
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Waiver

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