44D2184357 CLIA NUMBER - STANIFER PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 44D2184357
  • Facility Name: STANIFER PHARMACY LLC
  • Facility Address: 420 NORTH BROAD STREET
    NEW TAZEWELL, TN
    ZIP 37825
  • Facility Phone: 423 626-7337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUSSELL L. ESSARY
  • NPI Number: 1083782221
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2184357
LAB Type Pharmacy
Facility Name STANIFER PHARMACY LLC
Street 420 NORTH BROAD STREET
City NEW TAZEWELL
State TN
ZIP 37825
Phone 423 626-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director RUSSELL L. ESSARY

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