44D2153607 CLIA NUMBER - CENTRAL DRUG STORE PLLC

Laboratory Demographics

  • CLIA Code: 44D2153607
  • Facility Name: CENTRAL DRUG STORE PLLC
  • Facility Address: 239 WEST SUMMER STREET
    GREENEVILLE, TN
    ZIP 37743
  • Facility Phone: 423 638-4711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYNTHIA BULLINGTON FISHER
  • NPI Number: 1609976687
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2153607
LAB Type Pharmacy
Facility Name CENTRAL DRUG STORE PLLC
Street 239 WEST SUMMER STREET
City GREENEVILLE
State TN
ZIP 37743
Phone 423 638-4711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Pharmacy
Lab Director CYNTHIA BULLINGTON FISHER

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