44D2032421 CLIA NUMBER - WALGREENS #9510

Laboratory Demographics

  • CLIA Code: 44D2032421
  • Facility Name: WALGREENS #9510
  • Facility Address: 758 N ELLINGTON PKWY
    LEWISBURG, TN
    ZIP 37091
  • Facility Phone: 931 359-6204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN P. WEST
  • NPI Number: 1962417907
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032421
LAB Type Pharmacy
Facility Name WALGREENS #9510
Street 758 N ELLINGTON PKWY
City LEWISBURG
State TN
ZIP 37091
Phone 931 359-6204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director KEVIN P. WEST

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