44D2224865 CLIA NUMBER - WALGREENS #18021

Laboratory Demographics

  • CLIA Code: 44D2224865
  • Facility Name: WALGREENS #18021
  • Facility Address: 2710 MAYNARDVILLE HWY
    MAYNARDVILLE, TN
    ZIP 37807
  • Facility Phone: 865 992-8581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA SCRUDDER
  • NPI Number: 1073038121
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2224865
LAB Type Pharmacy
Facility Name WALGREENS #18021
Street 2710 MAYNARDVILLE HWY
City MAYNARDVILLE
State TN
ZIP 37807
Phone 865 992-8581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director JESSICA SCRUDDER

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