44D2283379 CLIA NUMBER - MEMPHIS CARDIOVASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 44D2283379
  • Facility Name: MEMPHIS CARDIOVASCULAR CENTER
  • Facility Address: 6799 GREAT OAKS RD STE 100
    MEMPHIS, TN
    ZIP 38138
  • Facility Phone: 901 751-0405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOHAMED B. SHALA
  • NPI Number: 1063873909
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2283379
LAB Type Physician Office
Facility Name MEMPHIS CARDIOVASCULAR CENTER
Street 6799 GREAT OAKS RD STE 100
City MEMPHIS
State TN
ZIP 38138
Phone 901 751-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DR. MOHAMED B. SHALA

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