44D2184763 CLIA NUMBER - GNR PLLC DBA PHD PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2184763
  • Facility Name: GNR PLLC DBA PHD PHARMACY
  • Facility Address: 110 KEITH STREET SW, SUITE 1
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 614-6650
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA PATTERSON
  • NPI Number: 1659013704
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2184763
LAB Type Pharmacy
Facility Name GNR PLLC DBA PHD PHARMACY
Street 110 KEITH STREET SW, SUITE 1
City CLEVELAND
State TN
ZIP 37311
Phone 423 614-6650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Pharmacy
Lab Director GINA PATTERSON

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