44D2032434 CLIA NUMBER - WALGREENS #9429

Laboratory Demographics

  • CLIA Code: 44D2032434
  • Facility Name: WALGREENS #9429
  • Facility Address: 214 BROAD ST
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: 423 547-2733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. LUNSIK
  • NPI Number: 1841205879
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032434
LAB Type Pharmacy
Facility Name WALGREENS #9429
Street 214 BROAD ST
City ELIZABETHTON
State TN
ZIP 37643
Phone 423 547-2733
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 MATTHEW J. LUNSIK

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