44D2186193 CLIA NUMBER - MOONEY'S PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 44D2186193
LAB Type Pharmacy
Facility Name MOONEY'S PHARMACY
Street 1107 NORTH ROAN STREET
City JOHNSON CITY
State TN
ZIP 37601
Phone 423 926-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Pharmacy
Lab Director JACOB C. COX

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