42D2182006 CLIA NUMBER - WALMART PHARMACY 10-5087

Laboratory Demographics

  • CLIA Code: 42D2182006
  • Facility Name: WALMART PHARMACY 10-5087
  • Facility Address: 550 HIGHWAY 17 N
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 843 281-8176
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. BARR
  • NPI Number: 1124045398
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2182006
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5087
Street 550 HIGHWAY 17 N
City NORTH MYRTLE BEACH
State SC
ZIP 29582
Phone 843 281-8176
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 D. BARR

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