44D2032545 CLIA NUMBER - WALGREENS #10612

Laboratory Demographics

  • CLIA Code: 44D2032545
  • Facility Name: WALGREENS #10612
  • Facility Address: 1797 ROANE STATE HWY
    HARRIMAN, TN
    ZIP 37748
  • Facility Phone: 865 717-2835
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARTHA A. SCARBROUGH
  • NPI Number: 1275731275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032545
LAB Type Pharmacy
Facility Name WALGREENS #10612
Street 1797 ROANE STATE HWY
City HARRIMAN
State TN
ZIP 37748
Phone 865 717-2835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director MARTHA A. SCARBROUGH

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