44D2133960 CLIA NUMBER - WALMART PHARMACY 10-583

Laboratory Demographics

  • CLIA Code: 44D2133960
  • Facility Name: WALMART PHARMACY 10-583
  • Facility Address: 19740 ALBERTA STREET
    ONEIDA, TN
    ZIP 37841
  • Facility Phone: 423 569-6633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISSA MIRACLE
  • NPI Number: 1801813001
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2133960
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-583
Street 19740 ALBERTA STREET
City ONEIDA
State TN
ZIP 37841
Phone 423 569-6633
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 ALISSA MIRACLE

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