44D2032406 CLIA NUMBER - WALGREENS #4083

Laboratory Demographics

  • CLIA Code: 44D2032406
  • Facility Name: WALGREENS #4083
  • Facility Address: 5950 STAGE RD
    BARTLETT, TN
    ZIP 38134
  • Facility Phone: 901 377-0940
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAILY T. NGUYEN
  • NPI Number: 1073528170
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032406
LAB Type Pharmacy
Facility Name WALGREENS #4083
Street 5950 STAGE RD
City BARTLETT
State TN
ZIP 38134
Phone 901 377-0940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director MAILY T. NGUYEN

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