44D2235755 CLIA NUMBER - TUCKER PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2235755
  • Facility Name: TUCKER PHARMACY
  • Facility Address: 2415 FAIRVIEW BLVD, SUITE 300
    FAIRVIEW, TN
    ZIP 37062
  • Facility Phone: 615 799-0691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE DEATHERIDGE
  • NPI Number: 1639714397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2235755
LAB Type Pharmacy
Facility Name TUCKER PHARMACY
Street 2415 FAIRVIEW BLVD, SUITE 300
City FAIRVIEW
State TN
ZIP 37062
Phone 615 799-0691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Pharmacy
Lab Director ANNE DEATHERIDGE

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