44D2140484 CLIA NUMBER - PRINCETON DRUG

Laboratory Demographics

  • CLIA Code: 44D2140484
  • Facility Name: PRINCETON DRUG
  • Facility Address: 105 BROYLES DRIVE STE A
    JOHNSON CITY, TN
    ZIP 37601
  • Facility Phone: 423 282-1178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN ARCHIBALD
  • NPI Number: 1912900663
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140484
LAB Type Pharmacy
Facility Name PRINCETON DRUG
Street 105 BROYLES DRIVE STE A
City JOHNSON CITY
State TN
ZIP 37601
Phone 423 282-1178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Pharmacy
Lab Director KRISTEN ARCHIBALD

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