44D2032540 CLIA NUMBER - WALGREENS #10330

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Laboratory Demographics

CLIA Number: 44D2032540

Facility Name: WALGREENS #10330

Facility Address:
2340 HWY 394
BLOUNTVILLE, TN
ZIP 37617
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Facility Phone Number: 423 323-1656

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912935446

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	44D2032540
LAB Type	Pharmacy
Facility Name	WALGREENS #10330
Street	2340 HWY 394
City	BLOUNTVILLE
State	TN
ZIP	37617
Phone	423 323-1656
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024