44D2032618 CLIA NUMBER - WALGREENS #5166

Laboratory Demographics

  • CLIA Code: 44D2032618
  • Facility Name: WALGREENS #5166
  • Facility Address: 4243 HARDING PK
    NASHVILLE, TN
    ZIP 37205
  • Facility Phone: 615 297-6399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. DICKERSON
  • NPI Number: 1922013937
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032618
LAB Type Pharmacy
Facility Name WALGREENS #5166
Street 4243 HARDING PK
City NASHVILLE
State TN
ZIP 37205
Phone 615 297-6399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director MATTHEW R. DICKERSON

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