42D2174260 CLIA NUMBER - WALMART PHARMACY 10-638

Laboratory Demographics

  • CLIA Code: 42D2174260
  • Facility Name: WALMART PHARMACY 10-638
  • Facility Address: 165 WALTON DR
    GAFFNEY, SC
    ZIP 29341
  • Facility Phone: 864 489-8704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE S. MARKS
  • NPI Number: 1740207901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2174260
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-638
Street 165 WALTON DR
City GAFFNEY
State SC
ZIP 29341
Phone 864 489-8704
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 NICOLE S. MARKS

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