44D2139982 CLIA NUMBER - WALMART PHARMACY 10-0064

Laboratory Demographics

  • CLIA Code: 44D2139982
  • Facility Name: WALMART PHARMACY 10-0064
  • Facility Address: 1100 S DUPREE AVE
    BROWNSVILLE, TN
    ZIP 38012
  • Facility Phone: 731 772-6283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE L. SNOW
  • NPI Number: 1871511618
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2139982
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0064
Street 1100 S DUPREE AVE
City BROWNSVILLE
State TN
ZIP 38012
Phone 731 772-6283
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 KATHERINE L. SNOW

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