44D2290714 CLIA NUMBER - WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JCMC

Laboratory Demographics

  • CLIA Code: 44D2290714
  • Facility Name: WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JCMC
  • Facility Address: 400 N STATE OF FRANKLIN ROAD
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 431-2140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY H. NICHOLSON
  • NPI Number: 1801154281
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2290714
LAB Type Pharmacy
Facility Name WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JCMC
Street 400 N STATE OF FRANKLIN ROAD
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 431-2140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Pharmacy
Lab Director KIMBERLY H. NICHOLSON

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