44D2032279 CLIA NUMBER - WALGREENS #6644

Laboratory Demographics

  • CLIA Code: 44D2032279
  • Facility Name: WALGREENS #6644
  • Facility Address: 4625 SUMMER AVE
    MEMPHIS, TN
    ZIP 38122
  • Facility Phone: 901 684-1026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERFAN X. SHAHIDI
  • NPI Number: 1700199585
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032279
LAB Type Pharmacy
Facility Name WALGREENS #6644
Street 4625 SUMMER AVE
City MEMPHIS
State TN
ZIP 38122
Phone 901 684-1026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director ERFAN X. SHAHIDI

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