44D2255913 CLIA NUMBER - WORKSITE CONSULTANTS

Laboratory Demographics

CLIA Number: 44D2255913

Facility Name: WORKSITE CONSULTANTS

Facility Address:
5425 EAST RAINES ROAD, SUITE 1
MEMPHIS, TN
ZIP 38141
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Facility Phone Number: 901 794-6563

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1427283167

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2255913
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	WORKSITE CONSULTANTS
Street	5425 EAST RAINES ROAD, SUITE 1
City	MEMPHIS
State	TN
ZIP	38141
Phone	901 794-6563
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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