44D2139989 CLIA NUMBER - WALMART PHARMACY 10-0093

Laboratory Demographics

  • CLIA Code: 44D2139989
  • Facility Name: WALMART PHARMACY 10-0093
  • Facility Address: 201 LANNY BRIDGES AVE
    COVINGTON, TN
    ZIP 38019
  • Facility Phone: 901 476-4648
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEA ANN PINNER
  • NPI Number: 1780602524
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2139989
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0093
Street 201 LANNY BRIDGES AVE
City COVINGTON
State TN
ZIP 38019
Phone 901 476-4648
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 LEA ANN PINNER

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