44D2032499 CLIA NUMBER - WALGREENS #13891

Laboratory Demographics

  • CLIA Code: 44D2032499
  • Facility Name: WALGREENS #13891
  • Facility Address: 429 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 975-0068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNNY B. MCKINNEY
  • NPI Number: 1992002877
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032499
LAB Type Pharmacy
Facility Name WALGREENS #13891
Street 429 N STATE OF FRANKLIN RD
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 975-0068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director SUNNY B. MCKINNEY

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