44D2032288 CLIA NUMBER - WALGREENS #11852

Laboratory Demographics

  • CLIA Code: 44D2032288
  • Facility Name: WALGREENS #11852
  • Facility Address: 1751 TINY TOWN RD
    CLARKSVILLE, TN
    ZIP 37042
  • Facility Phone: 931 552-7464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA N. SEIDLER
  • NPI Number: 1376701789
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2032288
LAB Type Pharmacy
Facility Name WALGREENS #11852
Street 1751 TINY TOWN RD
City CLARKSVILLE
State TN
ZIP 37042
Phone 931 552-7464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director CASSANDRA N. SEIDLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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