44D2032398 CLIA NUMBER - WALGREENS #11969

Laboratory Demographics

  • CLIA Code: 44D2032398
  • Facility Name: WALGREENS #11969
  • Facility Address: 950 N WASHINGTON AVE
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 525-3649
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE A. BAKER
  • NPI Number: 1891007712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032398
LAB Type Pharmacy
Facility Name WALGREENS #11969
Street 950 N WASHINGTON AVE
City COOKEVILLE
State TN
ZIP 38501
Phone 931 525-3649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director SHANE A. BAKER

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