44D2032548 CLIA NUMBER - WALGREENS #10688

Laboratory Demographics

  • CLIA Code: 44D2032548
  • Facility Name: WALGREENS #10688
  • Facility Address: 102 E BROADWAY
    NEWPORT, TN
    ZIP 37821
  • Facility Phone: 423 623-0364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEE N. CHILDRESS
  • NPI Number: 1629103916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032548
LAB Type Pharmacy
Facility Name WALGREENS #10688
Street 102 E BROADWAY
City NEWPORT
State TN
ZIP 37821
Phone 423 623-0364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director ASHLEE N. CHILDRESS

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