44D2032469 CLIA NUMBER - WALGREENS #6212

Laboratory Demographics

  • CLIA Code: 44D2032469
  • Facility Name: WALGREENS #6212
  • Facility Address: 824 W POPLAR AVE
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 853-3714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN D. TICER
  • NPI Number: 1649285644
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032469
LAB Type Pharmacy
Facility Name WALGREENS #6212
Street 824 W POPLAR AVE
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 853-3714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director KRISTIN D. TICER

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