44D2233901 CLIA NUMBER - WALGREENS #18327

Laboratory Demographics

  • CLIA Code: 44D2233901
  • Facility Name: WALGREENS #18327
  • Facility Address: 103 NORTH SHADY STREET
    MOUNTAIN CITY, TN
    ZIP 37683
  • Facility Phone: 423 727-5651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA BOLES
  • NPI Number: 1336664499
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2233901
LAB Type Pharmacy
Facility Name WALGREENS #18327
Street 103 NORTH SHADY STREET
City MOUNTAIN CITY
State TN
ZIP 37683
Phone 423 727-5651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director SARA BOLES

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