42D2181857 CLIA NUMBER - WALMART PHARMACY 10-3338

Laboratory Demographics

  • CLIA Code: 42D2181857
  • Facility Name: WALMART PHARMACY 10-3338
  • Facility Address: 203 CEDAR SPRINGS ROAD
    SPARTANBURG, SC
    ZIP 29302
  • Facility Phone: 864 381-6366
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINHAJ DALAL
  • NPI Number: 1114306735
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2181857
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3338
Street 203 CEDAR SPRINGS ROAD
City SPARTANBURG
State SC
ZIP 29302
Phone 864 381-6366
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 MINHAJ DALAL

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