44D2225321 CLIA NUMBER - BELOVED MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 44D2225321
  • Facility Name: BELOVED MEDICAL PLLC
  • Facility Address: 8045 CLUB PKWY
    CORDOVA, TN
    ZIP 38016
  • Facility Phone: 901 249-0847
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMEREUWAONU IKECHUKWU
  • NPI Number: 1699210369
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2225321
LAB Type Physician Office
Facility Name BELOVED MEDICAL PLLC
Street 8045 CLUB PKWY
City CORDOVA
State TN
ZIP 38016
Phone 901 249-0847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director EMEREUWAONU IKECHUKWU

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