44D2146936 CLIA NUMBER - RIVER CITY PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2146936
  • Facility Name: RIVER CITY PHARMACY
  • Facility Address: 5564 LITTLE DEBBIE PARKWAY SUITE 102
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 521-7279
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES W. GOSS
  • NPI Number: 1144747411
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2146936
LAB Type Pharmacy
Facility Name RIVER CITY PHARMACY
Street 5564 LITTLE DEBBIE PARKWAY SUITE 102
City OOLTEWAH
State TN
ZIP 37363
Phone 423 521-7279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Pharmacy
Lab Director JAMES W. GOSS

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