42D2174217 CLIA NUMBER - WALMART PHARMACY 10-1383

Laboratory Demographics

  • CLIA Code: 42D2174217
  • Facility Name: WALMART PHARMACY 10-1383
  • Facility Address: 350 ROBERT SMALLS PKWY
    BEAUFORT, SC
    ZIP 29906
  • Facility Phone: (843) 522-8687
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAIRE GOFF
  • NPI Number: 1922025188
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2174217
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1383
Street 350 ROBERT SMALLS PKWY
City BEAUFORT
State SC
ZIP 29906
Phone 8435228687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2025
Certificate Expiration Date 10/28/2027
Facility Type Pharmacy
Lab Director CLAIRE GOFF

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This page was last updated on: 5/18/2026