44D2050407 CLIA NUMBER - BLOUNT DISCOUNT PHARMACY-WEST

Laboratory Demographics

  • CLIA Code: 44D2050407
  • Facility Name: BLOUNT DISCOUNT PHARMACY-WEST
  • Facility Address: 131 MONTGOMERY LANE
    MARYVILLE, TN
    ZIP 37803
  • Facility Phone: (865) 681-0520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA ODUM
  • NPI Number: 1275894735
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2050407
LAB Type Pharmacy
Facility Name BLOUNT DISCOUNT PHARMACY-WEST
Street 131 MONTGOMERY LANE
City MARYVILLE
State TN
ZIP 37803
Phone 8656810520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director AMANDA ODUM

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This page was last updated on: 5/18/2026