44D2032543 CLIA NUMBER - WALGREENS #10495

Laboratory Demographics

  • CLIA Code: 44D2032543
  • Facility Name: WALGREENS #10495
  • Facility Address: 121 HARRISON LN
    SODDY DAISY, TN
    ZIP 37379
  • Facility Phone: 423 332-5124
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANA MILAZZO
  • NPI Number: 1235237314
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032543
LAB Type Pharmacy
Facility Name WALGREENS #10495
Street 121 HARRISON LN
City SODDY DAISY
State TN
ZIP 37379
Phone 423 332-5124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Pharmacy
Lab Director JEANA MILAZZO

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