42D2080768 CLIA NUMBER - WALMART CARE CLINIC 10-0511

Laboratory Demographics

  • CLIA Code: 42D2080768
  • Facility Name: WALMART CARE CLINIC 10-0511
  • Facility Address: 1283 BROAD STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 479 204-8862
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LYNN SCARBROUGH
  • NPI Number: 1477065704
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2080768
LAB Type Community Clinic
Facility Name WALMART CARE CLINIC 10-0511
Street 1283 BROAD STREET
City SUMTER
State SC
ZIP 29150
Phone 479 204-8862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Community Clinic
Lab Director LYNN SCARBROUGH

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