44D2134083 CLIA NUMBER - WALMART PHARMACY 10-741

Laboratory Demographics

  • CLIA Code: 44D2134083
  • Facility Name: WALMART PHARMACY 10-741
  • Facility Address: 911 HIGHWAY 321 N
    LENOIR CITY, TN
    ZIP 37771
  • Facility Phone: 865 986-1521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KETAN H. PATEL
  • NPI Number: 1598782773
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2134083
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-741
Street 911 HIGHWAY 321 N
City LENOIR CITY
State TN
ZIP 37771
Phone 865 986-1521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Pharmacy
Lab Director KETAN H. PATEL

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