44D2269002 CLIA NUMBER - WHITE BLUFF PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2269002
  • Facility Name: WHITE BLUFF PHARMACY
  • Facility Address: 4449 HWY 70 E
    WHITE BLUFF, TN
    ZIP 37187
  • Facility Phone: 615 908-6121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON L. VETTER
  • NPI Number: 1942959655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2269002
LAB Type Pharmacy
Facility Name WHITE BLUFF PHARMACY
Street 4449 HWY 70 E
City WHITE BLUFF
State TN
ZIP 37187
Phone 615 908-6121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Pharmacy
Lab Director BRANDON L. VETTER

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This page was last updated on: 3/20/2025