44D2211013 CLIA NUMBER - CATES STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2211013
  • Facility Name: CATES STREET PHARMACY
  • Facility Address: 104 CATES STREET
    DUNLAP, TN
    ZIP 37327
  • Facility Phone: 423 949-5722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB B. STANDEFER
  • NPI Number: 1851364483
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2211013
LAB Type Pharmacy
Facility Name CATES STREET PHARMACY
Street 104 CATES STREET
City DUNLAP
State TN
ZIP 37327
Phone 423 949-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director JACOB B. STANDEFER

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