44D2032432 CLIA NUMBER - WALGREENS #9430

Laboratory Demographics

  • CLIA Code: 44D2032432
  • Facility Name: WALGREENS #9430
  • Facility Address: 132 E BROADWAY BLVD
    JEFFERSON CITY, TN
    ZIP 37760
  • Facility Phone: 865 471-0548
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA T. WALKER
  • NPI Number: 1750396784
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032432
LAB Type Pharmacy
Facility Name WALGREENS #9430
Street 132 E BROADWAY BLVD
City JEFFERSON CITY
State TN
ZIP 37760
Phone 865 471-0548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director LAURA T. WALKER

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