44D2032408 CLIA NUMBER - WALGREENS #4084

Laboratory Demographics

  • CLIA Code: 44D2032408
  • Facility Name: WALGREENS #4084
  • Facility Address: 4542 HIGHWAY 58
    CHATTANOOGA, TN
    ZIP 37416
  • Facility Phone: 423 892-6787
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KETAN N. PATEL
  • NPI Number: 1932114949
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032408
LAB Type Pharmacy
Facility Name WALGREENS #4084
Street 4542 HIGHWAY 58
City CHATTANOOGA
State TN
ZIP 37416
Phone 423 892-6787
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 KETAN N. PATEL

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