44D2032351 CLIA NUMBER - WALGREENS #7613

Laboratory Demographics

  • CLIA Code: 44D2032351
  • Facility Name: WALGREENS #7613
  • Facility Address: 3515 PARK AVE
    MEMPHIS, TN
    ZIP 38111
  • Facility Phone: 901 458-1611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA JOHNSON
  • NPI Number: 1386651388
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032351
LAB Type Pharmacy
Facility Name WALGREENS #7613
Street 3515 PARK AVE
City MEMPHIS
State TN
ZIP 38111
Phone 901 458-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director JENNA JOHNSON

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