44D2139699 CLIA NUMBER - WALMART PHARMACY 10-3495

Laboratory Demographics

  • CLIA Code: 44D2139699
  • Facility Name: WALMART PHARMACY 10-3495
  • Facility Address: 2315 MADISON STREET
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 552-3535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BERTON C. STIMSON
  • NPI Number: 1700803905
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2139699
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3495
Street 2315 MADISON STREET
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 552-3535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director BERTON C. STIMSON

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