44D2136194 CLIA NUMBER - WALMART PHARMACY 10-3660

Laboratory Demographics

  • CLIA Code: 44D2136194
  • Facility Name: WALMART PHARMACY 10-3660
  • Facility Address: 3550 CUMMINGS HWY
    CHATTANOOGA, TN
    ZIP 37419
  • Facility Phone: 423 821-1556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA LEWIS
  • NPI Number: 1386661486
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2136194
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3660
Street 3550 CUMMINGS HWY
City CHATTANOOGA
State TN
ZIP 37419
Phone 423 821-1556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Pharmacy
Lab Director SANDRA LEWIS

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