42D2174240 CLIA NUMBER - WALMART PHARMACY 10-795

Laboratory Demographics

  • CLIA Code: 42D2174240
  • Facility Name: WALMART PHARMACY 10-795
  • Facility Address: 11391 DUNBARTON BLVD
    BARNWELL, SC
    ZIP 29812
  • Facility Phone: 803 259-0066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DELPHINE FELDER
  • NPI Number: 1194742353
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2174240
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-795
Street 11391 DUNBARTON BLVD
City BARNWELL
State SC
ZIP 29812
Phone 803 259-0066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Pharmacy
Lab Director DELPHINE FELDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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