42D2181876 CLIA NUMBER - WALMART PHARMACY 10-4384

Laboratory Demographics

  • CLIA Code: 42D2181876
  • Facility Name: WALMART PHARMACY 10-4384
  • Facility Address: 3000 PROPRIETORS PL
    MOUNT PLEASANT, SC
    ZIP 29466
  • Facility Phone: 843 884-2824
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILLIP S. EADDY
  • NPI Number: 1306045893
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2181876
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4384
Street 3000 PROPRIETORS PL
City MOUNT PLEASANT
State SC
ZIP 29466
Phone 843 884-2824
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 PHILLIP S. EADDY

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