44D1011406 CLIA NUMBER - GIBBS PHARMACY INC

Laboratory Demographics

  • CLIA Code: 44D1011406
  • Facility Name: GIBBS PHARMACY INC
  • Facility Address: 1427 B WEST BADDOUR PARKWAY
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 449-3355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES GIBBS
  • NPI Number: 1417621392
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1011406
LAB Type Pharmacy
Facility Name GIBBS PHARMACY INC
Street 1427 B WEST BADDOUR PARKWAY
City LEBANON
State TN
ZIP 37087
Phone 615 449-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director JAMES GIBBS

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