44D2032234 CLIA NUMBER - WALGREENS #3954

Laboratory Demographics

  • CLIA Code: 44D2032234
  • Facility Name: WALGREENS #3954
  • Facility Address: 4039 DAYTON BLVD
    RED BANK, TN
    ZIP 37415
  • Facility Phone: 423 870-0859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW L. WHITLOCK
  • NPI Number: 1205841210
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032234
LAB Type Pharmacy
Facility Name WALGREENS #3954
Street 4039 DAYTON BLVD
City RED BANK
State TN
ZIP 37415
Phone 423 870-0859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director ANDREW L. WHITLOCK

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