44D2151337 CLIA NUMBER - NISSAN FAMILY PHARMACY WALGREENS #12961

Laboratory Demographics

  • CLIA Code: 44D2151337
  • Facility Name: NISSAN FAMILY PHARMACY WALGREENS #12961
  • Facility Address: 608 ENON SPRINGS ROAD EAST
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 355-7635
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN W. SCARBOROUGH
  • NPI Number: 1316081615
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2151337
LAB Type Pharmacy
Facility Name NISSAN FAMILY PHARMACY WALGREENS #12961
Street 608 ENON SPRINGS ROAD EAST
City SMYRNA
State TN
ZIP 37167
Phone 615 355-7635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Pharmacy
Lab Director JOHN W. SCARBOROUGH

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