44D2032412 CLIA NUMBER - WALGREENS #4232

Laboratory Demographics

  • CLIA Code: 44D2032412
  • Facility Name: WALGREENS #4232
  • Facility Address: 8046 MACON RD
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 901 759-1331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT L. BERRY
  • NPI Number: 1730196742
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032412
LAB Type Pharmacy
Facility Name WALGREENS #4232
Street 8046 MACON RD
City CORDOVA
State TN
ZIP 38018
Phone 901 759-1331
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 SCOTT L. BERRY

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