Healther Providers Data Logo

44D1086038 CLIA NUMBER - WALGREENS #11113

Laboratory Demographics

CLIA Number: 44D1086038

Facility Name: WALGREENS #11113

Facility Address:
5104 BOBBY HICKS HWY
GRAY, TN
ZIP 37615
Get Directions

Facility Phone Number: 423 477-3372

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003002254

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 44D1086038
LAB Type Pharmacy
Facility Name WALGREENS #11113
Street 5104 BOBBY HICKS HWY
City GRAY
State TN
ZIP 37615
Phone 423 477-3372
CertificateType 4
CertificateEffectiveDate 3/27/2023
CertificateExpirationDate 3/26/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024