44D2154750 CLIA NUMBER - PUBLIX PHARMACY #1613

Laboratory Demographics

  • CLIA Code: 44D2154750
  • Facility Name: PUBLIX PHARMACY #1613
  • Facility Address: 1600 N JACKSON STREET SUITE 340
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 863 688-1188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCINE NAPOLITANO
  • NPI Number: 1588141899
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2154750
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1613
Street 1600 N JACKSON STREET SUITE 340
City TULLAHOMA
State TN
ZIP 37388
Phone 863 688-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Pharmacy
Lab Director FRANCINE NAPOLITANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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