42D2178186 CLIA NUMBER - WALMART PHARMACY 10-4487

Laboratory Demographics

  • CLIA Code: 42D2178186
  • Facility Name: WALMART PHARMACY 10-4487
  • Facility Address: 3581 RICHLAND AVE W
    AIKEN, SC
    ZIP 29801
  • Facility Phone: 803 648-6464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ODI O. OBINNA
  • NPI Number: 1487854204
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2178186
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4487
Street 3581 RICHLAND AVE W
City AIKEN
State SC
ZIP 29801
Phone 803 648-6464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Pharmacy
Lab Director ODI O. OBINNA

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