44D2032486 CLIA NUMBER - WALGREENS #12718

Laboratory Demographics

  • CLIA Code: 44D2032486
  • Facility Name: WALGREENS #12718
  • Facility Address: 3144 N HIGHLAND AVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 660-3335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROY D. WOOD
  • NPI Number: 1831104843
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032486
LAB Type Pharmacy
Facility Name WALGREENS #12718
Street 3144 N HIGHLAND AVE
City JACKSON
State TN
ZIP 38305
Phone 731 660-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Pharmacy
Lab Director ROY D. WOOD

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