44D2032574 CLIA NUMBER - WALGREENS #3013

Laboratory Demographics

  • CLIA Code: 44D2032574
  • Facility Name: WALGREENS #3013
  • Facility Address: 4653 ELVIS PRESLEY BLVD
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 901 346-4658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYMONE A. WREN
  • NPI Number: 1083621080
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032574
LAB Type Pharmacy
Facility Name WALGREENS #3013
Street 4653 ELVIS PRESLEY BLVD
City MEMPHIS
State TN
ZIP 38116
Phone 901 346-4658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Pharmacy
Lab Director SYMONE A. WREN

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