44D2032554 CLIA NUMBER - WALGREENS #10918

Laboratory Demographics

  • CLIA Code: 44D2032554
  • Facility Name: WALGREENS #10918
  • Facility Address: 4210 N ROAN ST
    JOHNSON CITY, TN
    ZIP 37601
  • Facility Phone: 423 262-0201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY L. LEAMON
  • NPI Number: 1659386670
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032554
LAB Type Pharmacy
Facility Name WALGREENS #10918
Street 4210 N ROAN ST
City JOHNSON CITY
State TN
ZIP 37601
Phone 423 262-0201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director CASEY L. LEAMON

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