42D2174241 CLIA NUMBER - WALMART PHARMACY 10-728

Laboratory Demographics

CLIA Number: 42D2174241

Facility Name: WALMART PHARMACY 10-728

Facility Address:
25 PEMBROKE DR
HILTON HEAD ISLAND, SC
ZIP 29926
Get Directions

Facility Phone Number: 843 681-3101

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730106998

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	42D2174241
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-728
Street	25 PEMBROKE DR
City	HILTON HEAD ISLAND
State	SC
ZIP	29926
Phone	843 681-3101
CertificateType	4
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024