44D2248019 CLIA NUMBER - FAMILY WELLNESS PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2248019
  • Facility Name: FAMILY WELLNESS PHARMACY
  • Facility Address: 330 N OAK AVE
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 559-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN C. MELTON
  • NPI Number: 1568811099
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2248019
LAB Type Pharmacy
Facility Name FAMILY WELLNESS PHARMACY
Street 330 N OAK AVE
City COOKEVILLE
State TN
ZIP 38501
Phone 931 559-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director JONATHAN C. MELTON

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