44D2032479 CLIA NUMBER - WALGREENS #12311

Laboratory Demographics

  • CLIA Code: 44D2032479
  • Facility Name: WALGREENS #12311
  • Facility Address: 2151 N CHARLES G SEVIERS BLVD
    CLINTON, TN
    ZIP 37716
  • Facility Phone: 865 457-1377
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY H. GRAY
  • NPI Number: 1942215975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032479
LAB Type Pharmacy
Facility Name WALGREENS #12311
Street 2151 N CHARLES G SEVIERS BLVD
City CLINTON
State TN
ZIP 37716
Phone 865 457-1377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director AMY H. GRAY

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