44D2032583 CLIA NUMBER - WALGREENS #3209

Laboratory Demographics

  • CLIA Code: 44D2032583
  • Facility Name: WALGREENS #3209
  • Facility Address: 8950 KINGSTON PK
    KNOXVILLE, TN
    ZIP 37923
  • Facility Phone: 865 694-1186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ETHAN A. STULTS
  • NPI Number: 1497760409
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032583
LAB Type Pharmacy
Facility Name WALGREENS #3209
Street 8950 KINGSTON PK
City KNOXVILLE
State TN
ZIP 37923
Phone 865 694-1186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director ETHAN A. STULTS

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