44D2032484 CLIA NUMBER - WALGREENS #12448

Laboratory Demographics

  • CLIA Code: 44D2032484
  • Facility Name: WALGREENS #12448
  • Facility Address: 303 NEW RIVERSIDE DR
    SEVIERVILLE, TN
    ZIP 37862
  • Facility Phone: 865 908-5554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PEGGY A. LUCAS
  • NPI Number: 1023393543
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2032484
LAB Type Pharmacy
Facility Name WALGREENS #12448
Street 303 NEW RIVERSIDE DR
City SEVIERVILLE
State TN
ZIP 37862
Phone 865 908-5554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2023
Certificate Expiration Date 4/25/2025
Facility Type Pharmacy
Lab Director PEGGY A. LUCAS

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This page was last updated on: 3/20/2025