44D2032487 CLIA NUMBER - WALGREENS #12858

Laboratory Demographics

  • CLIA Code: 44D2032487
  • Facility Name: WALGREENS #12858
  • Facility Address: 2103 E ANDREW JOHNSON HWY
    MORRISTOWN, TN
    ZIP 37814
  • Facility Phone: 423 586-5058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. NICHOLS
  • NPI Number: 1568477586
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032487
LAB Type Pharmacy
Facility Name WALGREENS #12858
Street 2103 E ANDREW JOHNSON HWY
City MORRISTOWN
State TN
ZIP 37814
Phone 423 586-5058
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 JENNIFER L. NICHOLS

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