44D2186201 CLIA NUMBER - MOUSE CREEK PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2186201
  • Facility Name: MOUSE CREEK PHARMACY
  • Facility Address: 570 PAUL HUFF PARKWAY NW
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 790-0443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON BRADLEY
  • NPI Number: 1699271999
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2186201
LAB Type Pharmacy
Facility Name MOUSE CREEK PHARMACY
Street 570 PAUL HUFF PARKWAY NW
City CLEVELAND
State TN
ZIP 37312
Phone 423 790-0443
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 JASON BRADLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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