42D2179685 CLIA NUMBER - WALMART PHARMACY 10-1030

Laboratory Demographics

CLIA Number: 42D2179685

Facility Name: WALMART PHARMACY 10-1030

Facility Address:
805 HWY 9 BYPASS WES
LANCASTER, SC
ZIP 29720
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Facility Phone Number: 803 286-5424

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811915614

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 42D2179685
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1030
Street 805 HWY 9 BYPASS WES
City LANCASTER
State SC
ZIP 29720
Phone 803 286-5424
CertificateType 4
CertificateEffectiveDate 2/29/2024
CertificateExpirationDate 2/27/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024