44D2211132 CLIA NUMBER - WALKER & WYATT, LLC DBA VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2211132
  • Facility Name: WALKER & WYATT, LLC DBA VILLAGE PHARMACY
  • Facility Address: 2541 EAST BROADWAY AVE
    MARYVILLE, TN
    ZIP 37804
  • Facility Phone: 865 983-9591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA J. LAWSON
  • NPI Number: 1659830701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2211132
LAB Type Pharmacy
Facility Name WALKER & WYATT, LLC DBA VILLAGE PHARMACY
Street 2541 EAST BROADWAY AVE
City MARYVILLE
State TN
ZIP 37804
Phone 865 983-9591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director LISA J. LAWSON

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