44D2032422 CLIA NUMBER - WALGREENS #9465

Laboratory Demographics

  • CLIA Code: 44D2032422
  • Facility Name: WALGREENS #9465
  • Facility Address: 2615 LAKE RD
    DYERSBURG, TN
    ZIP 38024
  • Facility Phone: 731 288-5065
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTI JACOBI
  • NPI Number: 1114000528
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032422
LAB Type Pharmacy
Facility Name WALGREENS #9465
Street 2615 LAKE RD
City DYERSBURG
State TN
ZIP 38024
Phone 731 288-5065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director CHRISTI JACOBI

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