42D2174261 CLIA NUMBER - WALMART PHARMACY 10-1146

Laboratory Demographics

  • CLIA Code: 42D2174261
  • Facility Name: WALMART PHARMACY 10-1146
  • Facility Address: 511 N HIGHWAY 52
    MONCKS CORNER, SC
    ZIP 29461
  • Facility Phone: 843 899-5755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONYA COUNTS-MARTIN
  • NPI Number: 1346267598
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2174261
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1146
Street 511 N HIGHWAY 52
City MONCKS CORNER
State SC
ZIP 29461
Phone 843 899-5755
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 SONYA COUNTS-MARTIN

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