44D2132778 CLIA NUMBER - SURGOINSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2132778
  • Facility Name: SURGOINSVILLE PHARMACY
  • Facility Address: 114 BELLAMY AVENUE
    SURGOINSVILLE, TN
    ZIP 37873
  • Facility Phone: 423 345-0333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETH A. BRYAN
  • NPI Number: 1871724708
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2132778
LAB Type Pharmacy
Facility Name SURGOINSVILLE PHARMACY
Street 114 BELLAMY AVENUE
City SURGOINSVILLE
State TN
ZIP 37873
Phone 423 345-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Pharmacy
Lab Director BETH A. BRYAN

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