44D2321461 CLIA NUMBER - BAKERS FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2321461
  • Facility Name: BAKERS FAMILY PHARMACY
  • Facility Address: 200 W MAIN ST
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 265-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURIE STEGALL
  • NPI Number: 1780103242
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2321461
LAB Type Pharmacy
Facility Name BAKERS FAMILY PHARMACY
Street 200 W MAIN ST
City JACKSON
State TN
ZIP 38301
Phone 731 265-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Pharmacy
Lab Director LAURIE STEGALL

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