44D2137742 CLIA NUMBER - WALMART PHARMACY 10-1467

Laboratory Demographics

  • CLIA Code: 44D2137742
  • Facility Name: WALMART PHARMACY 10-1467
  • Facility Address: 539 E CENTRAL AVE
    JAMESTOWN, TN
    ZIP 38556
  • Facility Phone: 931 879-4887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHLOE NEWPORT
  • NPI Number: 1124045307
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2137742
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1467
Street 539 E CENTRAL AVE
City JAMESTOWN
State TN
ZIP 38556
Phone 931 879-4887
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 CHLOE NEWPORT

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