44D2033572 CLIA NUMBER - WALGREENS #4735

Laboratory Demographics

  • CLIA Code: 44D2033572
  • Facility Name: WALGREENS #4735
  • Facility Address: 3670 RIVERDALE RD
    MEMPHIS, TN
    ZIP 38115
  • Facility Phone: 901 309-2621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUSA MUBAYEZ
  • NPI Number: 1336154434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2033572
LAB Type Pharmacy
Facility Name WALGREENS #4735
Street 3670 RIVERDALE RD
City MEMPHIS
State TN
ZIP 38115
Phone 901 309-2621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Pharmacy
Lab Director MUSA MUBAYEZ

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