44D2151971 CLIA NUMBER - TRITENN LLC DBA GRAY PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2151971
  • Facility Name: TRITENN LLC DBA GRAY PHARMACY
  • Facility Address: 208 SUNCREST DRIVE
    GRAY, TN
    ZIP 37615
  • Facility Phone: 423 477-3847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAYTON F. KILGORE
  • NPI Number: 1194812446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2151971
LAB Type Pharmacy
Facility Name TRITENN LLC DBA GRAY PHARMACY
Street 208 SUNCREST DRIVE
City GRAY
State TN
ZIP 37615
Phone 423 477-3847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director CLAYTON F. KILGORE

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