44D2312242 CLIA NUMBER - PREVENTIVEMD PLLC

Laboratory Demographics

  • CLIA Code: 44D2312242
  • Facility Name: PREVENTIVEMD PLLC
  • Facility Address: 4066 SUMMER AVE
    MEMPHIS, TN
    ZIP 38122
  • Facility Phone: 901 609-2444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD V. ROBINSON
  • NPI Number: 1003648890
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2312242
LAB Type Physician Office
Facility Name PREVENTIVEMD PLLC
Street 4066 SUMMER AVE
City MEMPHIS
State TN
ZIP 38122
Phone 901 609-2444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director TODD V. ROBINSON

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