42D2174244 CLIA NUMBER - WALMART PHARMACY 10-643

Laboratory Demographics

  • CLIA Code: 42D2174244
  • Facility Name: WALMART PHARMACY 10-643
  • Facility Address: 10820 KINGS RD
    MYRTLE BEACH, SC
    ZIP 29572
  • Facility Phone: (843) 449-0508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE ARCHER
  • NPI Number: 1972923738
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2174244
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-643
Street 10820 KINGS RD
City MYRTLE BEACH
State SC
ZIP 29572
Phone 8434490508
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 KATHERINE ARCHER

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