44D2190712 CLIA NUMBER - PREFERRED PHARMACY SEVIERVILLE

Laboratory Demographics

  • CLIA Code: 44D2190712
  • Facility Name: PREFERRED PHARMACY SEVIERVILLE
  • Facility Address: 1024 MIDDLE CREEK ROAD SUITE 1
    SEVIERVILLE, TN
    ZIP 37862
  • Facility Phone: 865 366-1770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHANDLER ROSENBALM
  • NPI Number: 1740647338
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2190712
LAB Type Pharmacy
Facility Name PREFERRED PHARMACY SEVIERVILLE
Street 1024 MIDDLE CREEK ROAD SUITE 1
City SEVIERVILLE
State TN
ZIP 37862
Phone 865 366-1770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Pharmacy
Lab Director CHANDLER ROSENBALM

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