44D2181561 CLIA NUMBER - THREE OAKS PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 44D2181561
  • Facility Name: THREE OAKS PHARMACY LLC
  • Facility Address: 259 THREE OAKS DRIVE SUITE A
    MEDINA, TN
    ZIP 38355
  • Facility Phone: 731 783-3300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN E. WHITBY
  • NPI Number: 1023446051
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2181561
LAB Type Pharmacy
Facility Name THREE OAKS PHARMACY LLC
Street 259 THREE OAKS DRIVE SUITE A
City MEDINA
State TN
ZIP 38355
Phone 731 783-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Pharmacy
Lab Director BRIAN E. WHITBY

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