44D1096572 CLIA NUMBER - APOTHECARY CONSULTANTS, LLC DBA MAIN STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 44D1096572
  • Facility Name: APOTHECARY CONSULTANTS, LLC DBA MAIN STREET PHARMACY
  • Facility Address: 110 MAIN STREET
    SAVANNAH, TN
    ZIP 38372
  • Facility Phone: 731 925-6246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA ROBERTS ETHERIDGE
  • NPI Number: 1992944631
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1096572
LAB Type Pharmacy
Facility Name APOTHECARY CONSULTANTS, LLC DBA MAIN STREET PHARMACY
Street 110 MAIN STREET
City SAVANNAH
State TN
ZIP 38372
Phone 731 925-6246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Pharmacy
Lab Director ANGELA ROBERTS ETHERIDGE

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