44D2032892 CLIA NUMBER - WALGREENS #5953

Laboratory Demographics

  • CLIA Code: 44D2032892
  • Facility Name: WALGREENS #5953
  • Facility Address: 1303 W MAIN ST
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 449-4330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN R. DANIEL
  • NPI Number: 1205841228
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2032892
LAB Type Pharmacy
Facility Name WALGREENS #5953
Street 1303 W MAIN ST
City LEBANON
State TN
ZIP 37087
Phone 615 449-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director AUSTIN R. DANIEL

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