44D2138770 CLIA NUMBER - WALMART PHARMACY 10-0685

Laboratory Demographics

  • CLIA Code: 44D2138770
  • Facility Name: WALMART PHARMACY 10-0685
  • Facility Address: 475 CROCKETT TRACE DR
    MORRISTOWN, TN
    ZIP 37813
  • Facility Phone: 423 587-0542
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY WILLIAMS
  • NPI Number: 1699792879
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2138770
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0685
Street 475 CROCKETT TRACE DR
City MORRISTOWN
State TN
ZIP 37813
Phone 423 587-0542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director ANTHONY WILLIAMS

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