44D2067301 CLIA NUMBER - WALGREENS #15816

Laboratory Demographics

  • CLIA Code: 44D2067301
  • Facility Name: WALGREENS #15816
  • Facility Address: 2401 N CENTRAL AVE
    HUMBOLDT, TN
    ZIP 38343
  • Facility Phone: 731 784-2613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENT A. PIERCE
  • NPI Number: 1205919610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2067301
LAB Type Pharmacy
Facility Name WALGREENS #15816
Street 2401 N CENTRAL AVE
City HUMBOLDT
State TN
ZIP 38343
Phone 731 784-2613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director BRENT A. PIERCE

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