44D2134682 CLIA NUMBER - OLDE TOWNE PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2134682
  • Facility Name: OLDE TOWNE PHARMACY
  • Facility Address: 102 W JACKSON BLVD
    JONESBOROUGH, TN
    ZIP 37659
  • Facility Phone: 423 753-4446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA CLOYD
  • NPI Number: 1275622961
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2134682
LAB Type Pharmacy
Facility Name OLDE TOWNE PHARMACY
Street 102 W JACKSON BLVD
City JONESBOROUGH
State TN
ZIP 37659
Phone 423 753-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director JOSHUA CLOYD

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