44D2295364 CLIA NUMBER - MIDTOWN CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 44D2295364
  • Facility Name: MIDTOWN CLINIC, LLC
  • Facility Address: 1726 POPLAR AVE
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: 901 756-5565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJEEV KUMAR
  • NPI Number: 1558043430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2295364
LAB Type Physician Office
Facility Name MIDTOWN CLINIC, LLC
Street 1726 POPLAR AVE
City MEMPHIS
State TN
ZIP 38104
Phone 901 756-5565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director SANJEEV KUMAR

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