42D2178309 CLIA NUMBER - WALMART PHARMACY 10-2870

Laboratory Demographics

  • CLIA Code: 42D2178309
  • Facility Name: WALMART PHARMACY 10-2870
  • Facility Address: 3815 N KINGS HWY
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 843 353-5589
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE KEEN
  • NPI Number: 1912381799
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2178309
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2870
Street 3815 N KINGS HWY
City MYRTLE BEACH
State SC
ZIP 29577
Phone 843 353-5589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Pharmacy
Lab Director STEVE KEEN

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