44D2032605 CLIA NUMBER - WALGREENS #5597

Laboratory Demographics

  • CLIA Code: 44D2032605
  • Facility Name: WALGREENS #5597
  • Facility Address: 2200 MEMORIAL BLVD
    KINGSPORT, TN
    ZIP 37664
  • Facility Phone: 423 246-0234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMEY C. MOORE
  • NPI Number: 1588679500
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032605
LAB Type Pharmacy
Facility Name WALGREENS #5597
Street 2200 MEMORIAL BLVD
City KINGSPORT
State TN
ZIP 37664
Phone 423 246-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director JAMEY C. MOORE

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