42D2181853 CLIA NUMBER - WALMART PHARMACY 10-3638

Laboratory Demographics

  • CLIA Code: 42D2181853
  • Facility Name: WALMART PHARMACY 10-3638
  • Facility Address: 804 S CASHUA DRIVE
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 269-9980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY T. WRIGHT
  • NPI Number: 1265459416
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2181853
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3638
Street 804 S CASHUA DRIVE
City FLORENCE
State SC
ZIP 29501
Phone 843 269-9980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Pharmacy
Lab Director ASHLEY T. WRIGHT

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