44D2149874 CLIA NUMBER - METHODIST GERMANTOWN OUTPATIENT PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2149874
  • Facility Name: METHODIST GERMANTOWN OUTPATIENT PHARMACY
  • Facility Address: 7705 POPLAR AVENUE SUITE 170
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 516-4102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANYARAT RIKARD
  • NPI Number: 1407202104
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 44D2149874
LAB Type Pharmacy
Facility Name METHODIST GERMANTOWN OUTPATIENT PHARMACY
Street 7705 POPLAR AVENUE SUITE 170
City GERMANTOWN
State TN
ZIP 38138
Phone 901 516-4102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Pharmacy
Lab Director ANYARAT RIKARD

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