42D2174263 CLIA NUMBER - WALMART PHARMACY 10-1339

Laboratory Demographics

  • CLIA Code: 42D2174263
  • Facility Name: WALMART PHARMACY 10-1339
  • Facility Address: 10060 TWO NOTCH RD
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 699-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL MCLAWHORN
  • NPI Number: 1104227982
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D2174263
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1339
Street 10060 TWO NOTCH RD
City COLUMBIA
State SC
ZIP 29223
Phone 803 699-1100
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 DANIEL MCLAWHORN

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