44D2032246 CLIA NUMBER - WALGREENS #6037

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Laboratory Demographics

CLIA Number: 44D2032246

Facility Name: WALGREENS #6037

Facility Address:
7790 WOLF RIVER BLVD
GERMANTOWN, TN
ZIP 38138
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Facility Phone Number: 901 309-1817

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306362645

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	44D2032246
LAB Type	Pharmacy
Facility Name	WALGREENS #6037
Street	7790 WOLF RIVER BLVD
City	GERMANTOWN
State	TN
ZIP	38138
Phone	901 309-1817
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024