44D2032491 CLIA NUMBER - WALGREENS #12980

Laboratory Demographics

  • CLIA Code: 44D2032491
  • Facility Name: WALGREENS #12980
  • Facility Address: 7425 TAZEWELL PK
    CORRYTON, TN
    ZIP 37721
  • Facility Phone: 865 232-1811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN PARROTT
  • NPI Number: 1013236785
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032491
LAB Type Pharmacy
Facility Name WALGREENS #12980
Street 7425 TAZEWELL PK
City CORRYTON
State TN
ZIP 37721
Phone 865 232-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director DUSTIN PARROTT

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