44D2032283 CLIA NUMBER - WALGREENS #11732

Laboratory Demographics

  • CLIA Code: 44D2032283
  • Facility Name: WALGREENS #11732
  • Facility Address: 2900 PAUL HUFF PKWY NW
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 472-1822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. AUGUSTINE
  • NPI Number: 1376719930
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032283
LAB Type Pharmacy
Facility Name WALGREENS #11732
Street 2900 PAUL HUFF PKWY NW
City CLEVELAND
State TN
ZIP 37312
Phone 423 472-1822
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 TIMOTHY D. AUGUSTINE

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