44D2219596 CLIA NUMBER - WALGREENS #17715

Laboratory Demographics

  • CLIA Code: 44D2219596
  • Facility Name: WALGREENS #17715
  • Facility Address: 210 MCMURRAY BLVD
    HARTSVILLE, TN
    ZIP 37074
  • Facility Phone: 615 374-2438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY L. JAMES
  • NPI Number: 1922523109
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2219596
LAB Type Pharmacy
Facility Name WALGREENS #17715
Street 210 MCMURRAY BLVD
City HARTSVILLE
State TN
ZIP 37074
Phone 615 374-2438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director ASHLEY L. JAMES

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