42D2191888 CLIA NUMBER - WALMART PHAMACY 10-2832

Laboratory Demographics

  • CLIA Code: 42D2191888
  • Facility Name: WALMART PHAMACY 10-2832
  • Facility Address: 4400 HIGHWAY 278
    HARDEEVILLE, SC
    ZIP 29927
  • Facility Phone: 843 208-3010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCIE SWANSON
  • NPI Number: 1720006554
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2191888
LAB Type Pharmacy
Facility Name WALMART PHAMACY 10-2832
Street 4400 HIGHWAY 278
City HARDEEVILLE
State SC
ZIP 29927
Phone 843 208-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Pharmacy
Lab Director MARCIE SWANSON

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