44D2133956 CLIA NUMBER - WALMART PHARMACY 10-2310

Laboratory Demographics

  • CLIA Code: 44D2133956
  • Facility Name: WALMART PHARMACY 10-2310
  • Facility Address: 3051 KINZEL WAY
    KNOXVILLE, TN
    ZIP 37924
  • Facility Phone: 865 544-0120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT KELLY
  • NPI Number: 1972520161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2133956
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2310
Street 3051 KINZEL WAY
City KNOXVILLE
State TN
ZIP 37924
Phone 865 544-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Pharmacy
Lab Director SCOTT KELLY

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