44D2032603 CLIA NUMBER - WALGREENS #5676

Laboratory Demographics

  • CLIA Code: 44D2032603
  • Facility Name: WALGREENS #5676
  • Facility Address: 1359 POPLAR AVE
    MEMPHIS, TN
    ZIP 38104
  • Facility Phone: 901 276-5491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RODNEY B. THOMAS
  • NPI Number: 1356356455
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032603
LAB Type Pharmacy
Facility Name WALGREENS #5676
Street 1359 POPLAR AVE
City MEMPHIS
State TN
ZIP 38104
Phone 901 276-5491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director RODNEY B. THOMAS

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This page was last updated on: 3/20/2025