44D2032267 CLIA NUMBER - WALGREENS #11435

Laboratory Demographics

  • CLIA Code: 44D2032267
  • Facility Name: WALGREENS #11435
  • Facility Address: 915 N BROAD ST
    NEW TAZEWELL, TN
    ZIP 37825
  • Facility Phone: 423 626-5511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY KINNEY
  • NPI Number: 1194996942
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032267
LAB Type Pharmacy
Facility Name WALGREENS #11435
Street 915 N BROAD ST
City NEW TAZEWELL
State TN
ZIP 37825
Phone 423 626-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director JENNY KINNEY

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