44D2239858 CLIA NUMBER - THE FATIGUE CLINIC

Laboratory Demographics

  • CLIA Code: 44D2239858
  • Facility Name: THE FATIGUE CLINIC
  • Facility Address: 890 W POPLAR #6
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 221-8621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAYMOND WALTHER
  • NPI Number: 1962779645
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2239858
LAB Type Physician Office
Facility Name THE FATIGUE CLINIC
Street 890 W POPLAR #6
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 221-8621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Physician Office
Lab Director DR. RAYMOND WALTHER

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