42D2182287 CLIA NUMBER - WALMART PHARMACY 10-41145

Laboratory Demographics

  • CLIA Code: 42D2182287
  • Facility Name: WALMART PHARMACY 10-41145
  • Facility Address: 806 W WADE HAMPTON BLVD SUITE B
    GREER, SC
    ZIP 29650
  • Facility Phone: 864 655-6425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES R. CANTRELL
  • NPI Number: 1003152810
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2182287
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-41145
Street 806 W WADE HAMPTON BLVD SUITE B
City GREER
State SC
ZIP 29650
Phone 864 655-6425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director JAMES R. CANTRELL

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