45D2046195 CLIA NUMBER - MEMPHIS CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 45D2046195
  • Facility Name: MEMPHIS CONVALESCENT CENTER
  • Facility Address: 1415 N 18TH STREET
    MEMPHIS, TX
    ZIP 79245
  • Facility Phone: 806 259-3566
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NITA D. MASSEY
  • NPI Number: 1669459491
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2046195
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEMPHIS CONVALESCENT CENTER
Street 1415 N 18TH STREET
City MEMPHIS
State TX
ZIP 79245
Phone 806 259-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NITA D. MASSEY

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