44D2288128 CLIA NUMBER - WALGREENS #18040

Laboratory Demographics

  • CLIA Code: 44D2288128
  • Facility Name: WALGREENS #18040
  • Facility Address: 650 HIGHWAY 100
    CENTERVILLE, TN
    ZIP 37033
  • Facility Phone: 931 729-5005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAN C. PARKER
  • NPI Number: 1245755396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2288128
LAB Type Pharmacy
Facility Name WALGREENS #18040
Street 650 HIGHWAY 100
City CENTERVILLE
State TN
ZIP 37033
Phone 931 729-5005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director SHAN C. PARKER

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