44D2311519 CLIA NUMBER - WALGREENS 17598

Laboratory Demographics

  • CLIA Code: 44D2311519
  • Facility Name: WALGREENS 17598
  • Facility Address: 14735 HIGHLAND DR
    MC KENZIE, TN
    ZIP 38201
  • Facility Phone: 731 352-7744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS T. WARREN
  • NPI Number: 1114442464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2311519
LAB Type Pharmacy
Facility Name WALGREENS 17598
Street 14735 HIGHLAND DR
City MC KENZIE
State TN
ZIP 38201
Phone 731 352-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director NICHOLAS T. WARREN

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