44D2276232 CLIA NUMBER - TRIUMPH AGILITY CARE, LLC

Laboratory Demographics

  • CLIA Code: 44D2276232
  • Facility Name: TRIUMPH AGILITY CARE, LLC
  • Facility Address: 3385 AIRWAYS BLVD STE 219
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 601 540-4386
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANYA K. MCCASKILL
  • NPI Number: 1033832514
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2276232
LAB Type Physician Office
Facility Name TRIUMPH AGILITY CARE, LLC
Street 3385 AIRWAYS BLVD STE 219
City MEMPHIS
State TN
ZIP 38116
Phone 601 540-4386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director TANYA K. MCCASKILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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