44D2032485 CLIA NUMBER - WALGREENS #12513

Laboratory Demographics

  • CLIA Code: 44D2032485
  • Facility Name: WALGREENS #12513
  • Facility Address: 606 S CUMBERLAND ST
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 449-7770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BUNNA CHEA
  • NPI Number: 1124544473
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032485
LAB Type Pharmacy
Facility Name WALGREENS #12513
Street 606 S CUMBERLAND ST
City LEBANON
State TN
ZIP 37087
Phone 615 449-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director BUNNA CHEA

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