44D2139702 CLIA NUMBER - WALMART PHARMACY 10-0107

Laboratory Demographics

  • CLIA Code: 44D2139702
  • Facility Name: WALMART PHARMACY 10-0107
  • Facility Address: 134 COURTRIGHT ROAD
    MARTIN, TN
    ZIP 38237
  • Facility Phone: 731 587-3819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLAKE TAYLOR
  • NPI Number: 1447383856
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2139702
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0107
Street 134 COURTRIGHT ROAD
City MARTIN
State TN
ZIP 38237
Phone 731 587-3819
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 BLAKE TAYLOR

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