44D2008794 CLIA NUMBER - PHIPPS PHARMACY #4

Laboratory Demographics

  • CLIA Code: 44D2008794
  • Facility Name: PHIPPS PHARMACY #4
  • Facility Address: 19 HUGHES DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 352-0820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRY R. PHIPPS
  • NPI Number: 1295320836
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2008794
LAB Type Pharmacy
Facility Name PHIPPS PHARMACY #4
Street 19 HUGHES DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 352-0820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director JERRY R. PHIPPS

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