44D2033571 CLIA NUMBER - WALGREENS #11160

Laboratory Demographics

  • CLIA Code: 44D2033571
  • Facility Name: WALGREENS #11160
  • Facility Address: 9307 LEE HWY
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 238-7724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD A. HAM
  • NPI Number: 1841477569
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2033571
LAB Type Pharmacy
Facility Name WALGREENS #11160
Street 9307 LEE HWY
City OOLTEWAH
State TN
ZIP 37363
Phone 423 238-7724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director RICHARD A. HAM

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