42D2179682 CLIA NUMBER - WALMART PHARMACY 10-1382

Laboratory Demographics

  • CLIA Code: 42D2179682
  • Facility Name: WALMART PHARMACY 10-1382
  • Facility Address: 508 NW BYPASS 72
    GREENWOOD, SC
    ZIP 29649
  • Facility Phone: 864 229-6722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY E. LINK
  • NPI Number: 1295752459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2179682
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1382
Street 508 NW BYPASS 72
City GREENWOOD
State SC
ZIP 29649
Phone 864 229-6722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Pharmacy
Lab Director COURTNEY E. LINK

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