44D2123825 CLIA NUMBER - VICTORY PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2123825
  • Facility Name: VICTORY PHARMACY
  • Facility Address: 4127 E EMORY ROAD
    KNOXVILLE, TN
    ZIP 37938
  • Facility Phone: 865 922-5234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLIE HELLE
  • NPI Number: 1710304837
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2123825
LAB Type Pharmacy
Facility Name VICTORY PHARMACY
Street 4127 E EMORY ROAD
City KNOXVILLE
State TN
ZIP 37938
Phone 865 922-5234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director KYLIE HELLE

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