44D2125854 CLIA NUMBER - ROLLER PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2125854
  • Facility Name: ROLLER PHARMACY
  • Facility Address: 109 N MAIN AVE
    ERWIN, TN
    ZIP 37650
  • Facility Phone: 423 743-7105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENDRA N. ROLLER
  • NPI Number: 1922137702
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2125854
LAB Type Pharmacy
Facility Name ROLLER PHARMACY
Street 109 N MAIN AVE
City ERWIN
State TN
ZIP 37650
Phone 423 743-7105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Pharmacy
Lab Director KENDRA N. ROLLER

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