44D2140074 CLIA NUMBER - WEST TOWNE PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2140074
  • Facility Name: WEST TOWNE PHARMACY
  • Facility Address: 1619 W MARKET STREET
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 926-9137
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN ARCHIBALD
  • NPI Number: 1700955861
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140074
LAB Type Pharmacy
Facility Name WEST TOWNE PHARMACY
Street 1619 W MARKET STREET
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 926-9137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Pharmacy
Lab Director KRISTEN ARCHIBALD

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