44D0931399 CLIA NUMBER - SPARTA APOTHECARY INC

Laboratory Demographics

  • CLIA Code: 44D0931399
  • Facility Name: SPARTA APOTHECARY INC
  • Facility Address: 285 WEST TURNTABLE RD
    SPARTA, TN
    ZIP 38583
  • Facility Phone: 615 836-3187
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: D A. TATUM
  • NPI Number: 1821192881
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D0931399
LAB Type Pharmacy
Facility Name SPARTA APOTHECARY INC
Street 285 WEST TURNTABLE RD
City SPARTA
State TN
ZIP 38583
Phone 615 836-3187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director D A. TATUM

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