42D2181843 CLIA NUMBER - WALMART PHARMACY 10-1135

Laboratory Demographics

  • CLIA Code: 42D2181843
  • Facility Name: WALMART PHARMACY 10-1135
  • Facility Address: 1150 S 4TH STREET
    HARTSVILLE, SC
    ZIP 29550
  • Facility Phone: (843) 332-8111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA G. WALLACE

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CLIA Record

Field Name Field Value
CLIA Number 42D2181843
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1135
Street 1150 S 4TH STREET
City HARTSVILLE
State SC
ZIP 29550
Phone 8433328111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2026
Certificate Expiration Date 4/12/2028
Facility Type Pharmacy
Lab Director KAYLA G. WALLACE

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This page was last updated on: 5/18/2026