44D2313188 CLIA NUMBER - WALGREENS 17476

Laboratory Demographics

  • CLIA Code: 44D2313188
  • Facility Name: WALGREENS 17476
  • Facility Address: 103 NORTH GATEWAY AVENUE
    ROCKWOOD, TN
    ZIP 37854
  • Facility Phone: 865 354-3422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DREW A. ROBERTS
  • NPI Number: 1740705011
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2313188
LAB Type Pharmacy
Facility Name WALGREENS 17476
Street 103 NORTH GATEWAY AVENUE
City ROCKWOOD
State TN
ZIP 37854
Phone 865 354-3422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director DREW A. ROBERTS

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