44D2131098 CLIA NUMBER - VAUGHN PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2131098
  • Facility Name: VAUGHN PHARMACY
  • Facility Address: 2141 EMORY ROAD
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 947-1581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DWIGHT A. DISNEY
  • NPI Number: 1124198205
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2131098
LAB Type Pharmacy
Facility Name VAUGHN PHARMACY
Street 2141 EMORY ROAD
City POWELL
State TN
ZIP 37849
Phone 865 947-1581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director DWIGHT A. DISNEY

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