44D2328965 CLIA NUMBER - BENJAMIN BRANNICK LLC

Laboratory Demographics

  • CLIA Code: 44D2328965
  • Facility Name: BENJAMIN BRANNICK LLC
  • Facility Address: 491 W POPLAR AVE
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 678 993-6601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN BRANNICK
  • NPI Number: 1154667236
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 44D2328965
LAB Type Physician Office
Facility Name BENJAMIN BRANNICK LLC
Street 491 W POPLAR AVE
City COLLIERVILLE
State TN
ZIP 38017
Phone 678 993-6601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director BENJAMIN BRANNICK

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