42D2179685 CLIA NUMBER - WALMART PHARMACY 10-1030

Laboratory Demographics

  • CLIA Code: 42D2179685
  • Facility Name: WALMART PHARMACY 10-1030
  • Facility Address: 805 HWY 9 BYPASS WES
    LANCASTER, SC
    ZIP 29720
  • Facility Phone: 803 286-5424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY CHARLES L. HUNTER
  • NPI Number: 1811915614
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 ZACHARY CHARLES L. HUNTER

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