42D2182010 CLIA NUMBER - WALMART PHARMACY 10-2712

Laboratory Demographics

  • CLIA Code: 42D2182010
  • Facility Name: WALMART PHARMACY 10-2712
  • Facility Address: 541 SEABOARD STREET
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 843 445-7851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENNIS C. BURBAGE JR
  • NPI Number: 1639196892
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2182010
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2712
Street 541 SEABOARD STREET
City MYRTLE BEACH
State SC
ZIP 29577
Phone 843 445-7851
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 DENNIS C. BURBAGE JR

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