44D2032296 CLIA NUMBER - WALGREENS #6738

Laboratory Demographics

  • CLIA Code: 44D2032296
  • Facility Name: WALGREENS #6738
  • Facility Address: 2109 JACKSBORO PIKE
    LAFOLLETTE, TN
    ZIP 37766
  • Facility Phone: 423 566-0786
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY D. BUCKNER
  • NPI Number: 1922013945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032296
LAB Type Pharmacy
Facility Name WALGREENS #6738
Street 2109 JACKSBORO PIKE
City LAFOLLETTE
State TN
ZIP 37766
Phone 423 566-0786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2023
Certificate Expiration Date 9/11/2025
Facility Type Pharmacy
Lab Director TAMMY D. BUCKNER

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This page was last updated on: 6/4/2025