44D2214559 CLIA NUMBER - STANDEFER PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2214559
  • Facility Name: STANDEFER PHARMACY
  • Facility Address: 3051 MAIN STREET
    PIKEVILLE, TN
    ZIP 37367
  • Facility Phone: 423 447-2134
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRED J. STANDEFER
  • NPI Number: 1285607044
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2214559
LAB Type Pharmacy
Facility Name STANDEFER PHARMACY
Street 3051 MAIN STREET
City PIKEVILLE
State TN
ZIP 37367
Phone 423 447-2134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director FRED J. STANDEFER

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