44D2032496 CLIA NUMBER - WALGREENS #13659

Laboratory Demographics

  • CLIA Code: 44D2032496
  • Facility Name: WALGREENS #13659
  • Facility Address: 1332 N HIGHLAND AVE
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 427-4992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOBBY Q. HOANG
  • NPI Number: 1548474133
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032496
LAB Type Pharmacy
Facility Name WALGREENS #13659
Street 1332 N HIGHLAND AVE
City JACKSON
State TN
ZIP 38301
Phone 731 427-4992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director BOBBY Q. HOANG

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