44D2161238 CLIA NUMBER - GREENFIELD PHARMS LLC DBA KENTON DRUG CO

Laboratory Demographics

  • CLIA Code: 44D2161238
  • Facility Name: GREENFIELD PHARMS LLC DBA KENTON DRUG CO
  • Facility Address: 116 EAST COLLEGE STREET
    KENTON, TN
    ZIP 38233
  • Facility Phone: 731 749-5951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CORY FERGUSON
  • NPI Number: 1831254994
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2161238
LAB Type Pharmacy
Facility Name GREENFIELD PHARMS LLC DBA KENTON DRUG CO
Street 116 EAST COLLEGE STREET
City KENTON
State TN
ZIP 38233
Phone 731 749-5951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Pharmacy
Lab Director CORY FERGUSON

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