44D2032546 CLIA NUMBER - WALGREENS #9112

Laboratory Demographics

  • CLIA Code: 44D2032546
  • Facility Name: WALGREENS #9112
  • Facility Address: 14860 HWY 194
    OAKLAND, TN
    ZIP 38060
  • Facility Phone: 901 466-9956
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA B. COKE-BEATY
  • NPI Number: 1669487690
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032546
LAB Type Pharmacy
Facility Name WALGREENS #9112
Street 14860 HWY 194
City OAKLAND
State TN
ZIP 38060
Phone 901 466-9956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director AMANDA B. COKE-BEATY

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