42D2181944 CLIA NUMBER - WALMART PHARMACY 10-881

Laboratory Demographics

  • CLIA Code: 42D2181944
  • Facility Name: WALMART PHARMACY 10-881
  • Facility Address: 5556 SUNSET BLVD
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 808-3747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL ODONNELL
  • NPI Number: 1093732257
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2181944
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-881
Street 5556 SUNSET BLVD
City LEXINGTON
State SC
ZIP 29072
Phone 803 808-3747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Pharmacy
Lab Director MICHAEL ODONNELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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