44D2133958 CLIA NUMBER - WALMART PHARMACY 10-2065

Laboratory Demographics

  • CLIA Code: 44D2133958
  • Facility Name: WALMART PHARMACY 10-2065
  • Facility Address: 8445 WALBROOK DRIVE
    KNOXVILLE, TN
    ZIP 37923
  • Facility Phone: 865 690-6401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM GULLEY
  • NPI Number: 1982621173
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2133958
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2065
Street 8445 WALBROOK DRIVE
City KNOXVILLE
State TN
ZIP 37923
Phone 865 690-6401
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 ADAM GULLEY

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