42D2178311 CLIA NUMBER - WALMART PHARMACY 10-2806

Laboratory Demographics

  • CLIA Code: 42D2178311
  • Facility Name: WALMART PHARMACY 10-2806
  • Facility Address: 4000 HWY #9
    BOILING SPRINGS, SC
    ZIP 29316
  • Facility Phone: 864 814-6262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBIN H. JONES
  • NPI Number: 1548287709
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2178311
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2806
Street 4000 HWY #9
City BOILING SPRINGS
State SC
ZIP 29316
Phone 864 814-6262
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 ROBIN H. JONES

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