42D2181991 CLIA NUMBER - WALMART PHARMACY 10-3442

Laboratory Demographics

  • CLIA Code: 42D2181991
  • Facility Name: WALMART PHARMACY 10-3442
  • Facility Address: 11980 HIGHWAY 17 BYPASS
    MURRELLS INLET, SC
    ZIP 29576
  • Facility Phone: 843 357-2000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE VOSO BLANKS
  • NPI Number: 1114392651
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 42D2181991
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3442
Street 11980 HIGHWAY 17 BYPASS
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 357-2000
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 NICOLE VOSO BLANKS

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