44D2152310 CLIA NUMBER - MARCUM'S PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2152310
  • Facility Name: MARCUM'S PHARMACY
  • Facility Address: 121 EAST RAVINE STREET
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 246-6166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLTON N. MARCUM
  • NPI Number: 1245315522
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2152310
LAB Type Pharmacy
Facility Name MARCUM'S PHARMACY
Street 121 EAST RAVINE STREET
City KINGSPORT
State TN
ZIP 37660
Phone 423 246-6166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Pharmacy
Lab Director COLTON N. MARCUM

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