44D2139980 CLIA NUMBER - WALMART PHARMACY 10-1089

Laboratory Demographics

  • CLIA Code: 44D2139980
  • Facility Name: WALMART PHARMACY 10-1089
  • Facility Address: 525 KIMBALL CROSSING DRIVE
    KIMBALL, TN
    ZIP 37347
  • Facility Phone: 423 837-8671
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VISHAL PATEL
  • NPI Number: 1427076264
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2139980
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1089
Street 525 KIMBALL CROSSING DRIVE
City KIMBALL
State TN
ZIP 37347
Phone 423 837-8671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Pharmacy
Lab Director VISHAL PATEL

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