44D2032308 CLIA NUMBER - WALGREENS #10103

Laboratory Demographics

  • CLIA Code: 44D2032308
  • Facility Name: WALGREENS #10103
  • Facility Address: 5080 STAGE RD
    MEMPHIS, TN
    ZIP 38128
  • Facility Phone: 901 382-9237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONDRELL A. LESTER
  • NPI Number: 1821005836
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032308
LAB Type Pharmacy
Facility Name WALGREENS #10103
Street 5080 STAGE RD
City MEMPHIS
State TN
ZIP 38128
Phone 901 382-9237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director DONDRELL A. LESTER

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