44D2133961 CLIA NUMBER - WALMART PHARMACY 10-687

Laboratory Demographics

  • CLIA Code: 44D2133961
  • Facility Name: WALMART PHARMACY 10-687
  • Facility Address: 168 OBED PLAZA STE 108
    CROSSVILLE, TN
    ZIP 38555
  • Facility Phone: 931 484-5109
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA BISHOP
  • NPI Number: 1053338244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2133961
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-687
Street 168 OBED PLAZA STE 108
City CROSSVILLE
State TN
ZIP 38555
Phone 931 484-5109
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 ALYSSA BISHOP

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