44D2216834 CLIA NUMBER - PHARMACY HOME CARE OF EAST TENNESSEE

Laboratory Demographics

  • CLIA Code: 44D2216834
  • Facility Name: PHARMACY HOME CARE OF EAST TENNESSEE
  • Facility Address: 120 23RD STREET NW
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 790-7336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFRY H. WOLFENDEN
  • NPI Number: 1851302434
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2216834
LAB Type Pharmacy
Facility Name PHARMACY HOME CARE OF EAST TENNESSEE
Street 120 23RD STREET NW
City CLEVELAND
State TN
ZIP 37311
Phone 423 790-7336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director JEFFRY H. WOLFENDEN

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