44D2032596 CLIA NUMBER - WALGREENS #5790

Laboratory Demographics

  • CLIA Code: 44D2032596
  • Facility Name: WALGREENS #5790
  • Facility Address: 1302 CONGRESS PKWY S
    ATHENS, TN
    ZIP 37303
  • Facility Phone: 423 745-7749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN B. FESMIRE
  • NPI Number: 1740295765
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032596
LAB Type Pharmacy
Facility Name WALGREENS #5790
Street 1302 CONGRESS PKWY S
City ATHENS
State TN
ZIP 37303
Phone 423 745-7749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director MORGAN B. FESMIRE

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