44D2191648 CLIA NUMBER - BRAINERD PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2191648
  • Facility Name: BRAINERD PHARMACY
  • Facility Address: 3602 BRAINERD ROAD
    CHATTANOOGA, TN
    ZIP 37411
  • Facility Phone: 423 305-1858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HERMANG J. PATEL
  • NPI Number: 1790991024
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 44D2191648
LAB Type Pharmacy
Facility Name BRAINERD PHARMACY
Street 3602 BRAINERD ROAD
City CHATTANOOGA
State TN
ZIP 37411
Phone 423 305-1858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Pharmacy
Lab Director HERMANG J. PATEL

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