44D2241931 CLIA NUMBER - WALGREENS #19074

Laboratory Demographics

  • CLIA Code: 44D2241931
  • Facility Name: WALGREENS #19074
  • Facility Address: 703 S CONGRESS BLVD
    SMITHVILLE, TN
    ZIP 37166
  • Facility Phone: 615 597-4200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGEL JOHNSON
  • NPI Number: 1902321961
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2241931
LAB Type Pharmacy
Facility Name WALGREENS #19074
Street 703 S CONGRESS BLVD
City SMITHVILLE
State TN
ZIP 37166
Phone 615 597-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director ANGEL JOHNSON

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