44D2032274 CLIA NUMBER - WALGREENS #11670

Laboratory Demographics

  • CLIA Code: 44D2032274
  • Facility Name: WALGREENS #11670
  • Facility Address: 14857 RANKIN AVE
    DUNLAP, TN
    ZIP 37327
  • Facility Phone: 423 949-7703
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINA TEDFORD
  • NPI Number: 1356524771
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032274
LAB Type Pharmacy
Facility Name WALGREENS #11670
Street 14857 RANKIN AVE
City DUNLAP
State TN
ZIP 37327
Phone 423 949-7703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director KRISTINA TEDFORD

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