44D2032410 CLIA NUMBER - WALGREENS #4201

Laboratory Demographics

  • CLIA Code: 44D2032410
  • Facility Name: WALGREENS #4201
  • Facility Address: 35 25TH ST NW
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 614-4810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BILLY R. HURT
  • NPI Number: 1023023033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032410
LAB Type Pharmacy
Facility Name WALGREENS #4201
Street 35 25TH ST NW
City CLEVELAND
State TN
ZIP 37311
Phone 423 614-4810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director BILLY R. HURT

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