44D0984047 CLIA NUMBER - CLINTON DRUG STORE

Laboratory Demographics

  • CLIA Code: 44D0984047
  • Facility Name: CLINTON DRUG STORE
  • Facility Address: 1130 N CHARLES SEIVERS BLVD
    CLINTON, TN
    ZIP 37716
  • Facility Phone: 865 457-1421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMMY N. MCBRIDE
  • NPI Number: 1396872057
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0984047
LAB Type Pharmacy
Facility Name CLINTON DRUG STORE
Street 1130 N CHARLES SEIVERS BLVD
City CLINTON
State TN
ZIP 37716
Phone 865 457-1421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director JIMMY N. MCBRIDE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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