44D2125385 CLIA NUMBER - WALGREENS #16315

Laboratory Demographics

  • CLIA Code: 44D2125385
  • Facility Name: WALGREENS #16315
  • Facility Address: 1810 ROBERT C JACKSON DRIVE
    MARYVILLE, TN
    ZIP 37801
  • Facility Phone: 865 982-9235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA CASSITY
  • NPI Number: 1356730725
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2125385
LAB Type Pharmacy
Facility Name WALGREENS #16315
Street 1810 ROBERT C JACKSON DRIVE
City MARYVILLE
State TN
ZIP 37801
Phone 865 982-9235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director REBECCA CASSITY

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