44D2161839 CLIA NUMBER - CARTER'S DRUG STORE

Laboratory Demographics

  • CLIA Code: 44D2161839
  • Facility Name: CARTER'S DRUG STORE
  • Facility Address: 106 ELK AVE SOUTH
    FAYETTEVILLE, TN
    ZIP 37334
  • Facility Phone: 931 433-1511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA L. BROWN
  • NPI Number: 1639237761
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2161839
LAB Type Pharmacy
Facility Name CARTER'S DRUG STORE
Street 106 ELK AVE SOUTH
City FAYETTEVILLE
State TN
ZIP 37334
Phone 931 433-1511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director AMANDA L. BROWN

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