44D2051186 CLIA NUMBER - BELEW DRUG INC

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Laboratory Demographics

CLIA Number: 44D2051186

Facility Name: BELEW DRUG INC

Facility Address:
2021 N BROADWAY ST
KNOXVILLE, TN
ZIP 37917
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Facility Phone Number: 865 525-4189

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962906347

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	44D2051186
LAB Type	Pharmacy
Facility Name	BELEW DRUG INC
Street	2021 N BROADWAY ST
City	KNOXVILLE
State	TN
ZIP	37917
Phone	865 525-4189
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024