44D2262761 CLIA NUMBER - CROSSROADS URGENT CARE DBA URGENT TEAM

Laboratory Demographics

  • CLIA Code: 44D2262761
  • Facility Name: CROSSROADS URGENT CARE DBA URGENT TEAM
  • Facility Address: 397 NEW BYHALIA ROAD
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 860-0536
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK W. FOWLER
  • NPI Number: 1710874565
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2262761
LAB Type Physician Office
Facility Name CROSSROADS URGENT CARE DBA URGENT TEAM
Street 397 NEW BYHALIA ROAD
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 860-0536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director MARK W. FOWLER

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