44D2263991 CLIA NUMBER - CORE PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 44D2263991
  • Facility Name: CORE PSYCHIATRY
  • Facility Address: 1011 W POPLAR AVE, SUITE 7
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 446-0226
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JASON E. BRUNO
  • NPI Number: 1396344784
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2263991
LAB Type Practitioner Other
Facility Name CORE PSYCHIATRY
Street 1011 W POPLAR AVE, SUITE 7
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 446-0226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Practitioner Other
Lab Director JASON E. BRUNO

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