44D2328428 CLIA NUMBER - XPEDITED CARE

Laboratory Demographics

  • CLIA Code: 44D2328428
  • Facility Name: XPEDITED CARE
  • Facility Address: 1204 N HOUSTON LEVEE
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 901 857-4228
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SUSAN B. IBRAHIM
  • NPI Number: 1093558611
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2328428
LAB Type Practitioner Other
Facility Name XPEDITED CARE
Street 1204 N HOUSTON LEVEE
City CORDOVA
State TN
ZIP 38018
Phone 901 857-4228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Practitioner Other
Lab Director SUSAN B. IBRAHIM

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