44D2137738 CLIA NUMBER - WALMART PHARMACY 10-4635

Laboratory Demographics

  • CLIA Code: 44D2137738
  • Facility Name: WALMART PHARMACY 10-4635
  • Facility Address: 150 TANNER LANE
    CLINTON, TN
    ZIP 37716
  • Facility Phone: 865 457-4909
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLIE C. MCNEELEY
  • NPI Number: 1467638890
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2137738
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4635
Street 150 TANNER LANE
City CLINTON
State TN
ZIP 37716
Phone 865 457-4909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director ASHLIE C. MCNEELEY

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