42D2191107 CLIA NUMBER - WALMART PHARMACY 10-1748

Laboratory Demographics

  • CLIA Code: 42D2191107
  • Facility Name: WALMART PHARMACY 10-1748
  • Facility Address: 3951 W ASHLEY CIR
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 843 763-2006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTIE KING
  • NPI Number: 1497844369
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2191107
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1748
Street 3951 W ASHLEY CIR
City CHARLESTON
State SC
ZIP 29414
Phone 843 763-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director CHRISTIE KING

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