44D2308427 CLIA NUMBER - DR CHANTE FASON, INC

Laboratory Demographics

  • CLIA Code: 44D2308427
  • Facility Name: DR CHANTE FASON, INC
  • Facility Address: 1840 PYRAMID PLACE, STE 304
    MEMPHIS, TN
    ZIP 38132
  • Facility Phone: 901 921-7458
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERROL M. THOMAS
  • NPI Number: 1649019480
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2308427
LAB Type Physician Office
Facility Name DR CHANTE FASON, INC
Street 1840 PYRAMID PLACE, STE 304
City MEMPHIS
State TN
ZIP 38132
Phone 901 921-7458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director ERROL M. THOMAS

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