44D2032224 CLIA NUMBER - WALGREENS #6963

Laboratory Demographics

  • CLIA Code: 44D2032224
  • Facility Name: WALGREENS #6963
  • Facility Address: 102 MEMORIAL DR
    PARIS, TN
    ZIP 38242
  • Facility Phone: 731 641-6669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL S. PECK
  • NPI Number: 1306851332
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032224
LAB Type Pharmacy
Facility Name WALGREENS #6963
Street 102 MEMORIAL DR
City PARIS
State TN
ZIP 38242
Phone 731 641-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director DANIEL S. PECK

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