44D2325136 CLIA NUMBER - ESSENTIAL PRIMARY CARE CORPORATION

Laboratory Demographics

  • CLIA Code: 44D2325136
  • Facility Name: ESSENTIAL PRIMARY CARE CORPORATION
  • Facility Address: 6005 PARK AVENUE SUITE 503
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 634-8816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY G. ANDERSON
  • NPI Number: 1124812763
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2325136
LAB Type Physician Office
Facility Name ESSENTIAL PRIMARY CARE CORPORATION
Street 6005 PARK AVENUE SUITE 503
City MEMPHIS
State TN
ZIP 38119
Phone 901 634-8816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director BRITTANY G. ANDERSON

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