44D2032259 CLIA NUMBER - WALGREENS #6340

Laboratory Demographics

  • CLIA Code: 44D2032259
  • Facility Name: WALGREENS #6340
  • Facility Address: 700 N JACKSON ST
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 455-6778
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENITRA K. SMITH-WASHINGTON
  • NPI Number: 1295740215
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032259
LAB Type Pharmacy
Facility Name WALGREENS #6340
Street 700 N JACKSON ST
City TULLAHOMA
State TN
ZIP 37388
Phone 931 455-6778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director KENITRA K. SMITH-WASHINGTON

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