44D2135872 CLIA NUMBER - JASPER DRUGS LLC

Laboratory Demographics

  • CLIA Code: 44D2135872
  • Facility Name: JASPER DRUGS LLC
  • Facility Address: 17 COURTHOUSE SQUARE
    JASPER, TN
    ZIP 37347
  • Facility Phone: 423 942-5636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB STANDEFER
  • NPI Number: 1407829369
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2135872
LAB Type Pharmacy
Facility Name JASPER DRUGS LLC
Street 17 COURTHOUSE SQUARE
City JASPER
State TN
ZIP 37347
Phone 423 942-5636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director JACOB STANDEFER

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