44D2032555 CLIA NUMBER - WALGREENS #10959

Laboratory Demographics

  • CLIA Code: 44D2032555
  • Facility Name: WALGREENS #10959
  • Facility Address: 515 EAST CENTRAL AVE
    JAMESTOWN, TN
    ZIP 38556
  • Facility Phone: 931 879-4884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL J. HULING
  • NPI Number: 1841494820
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032555
LAB Type Pharmacy
Facility Name WALGREENS #10959
Street 515 EAST CENTRAL AVE
City JAMESTOWN
State TN
ZIP 38556
Phone 931 879-4884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director DANIEL J. HULING

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