44D2301882 CLIA NUMBER - MID-SOUTH WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 44D2301882
  • Facility Name: MID-SOUTH WOMEN'S CLINIC
  • Facility Address: 16228 US HIGHWAY 51
    MILLINGTON, TN
    ZIP 38053
  • Facility Phone: 901 476-6528
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: STEFANIE LOGAN
  • NPI Number: 1932258787
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2301882
LAB Type Mobile Laboratory
Facility Name MID-SOUTH WOMEN'S CLINIC
Street 16228 US HIGHWAY 51
City MILLINGTON
State TN
ZIP 38053
Phone 901 476-6528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Mobile Laboratory
Lab Director STEFANIE LOGAN

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