44D2140013 CLIA NUMBER - WALMART PHARMACY 10-4166

Laboratory Demographics

  • CLIA Code: 44D2140013
  • Facility Name: WALMART PHARMACY 10-4166
  • Facility Address: 935 STATE HWY 11 SOUTH
    SWEETWATER, TN
    ZIP 37874
  • Facility Phone: 423 337-3052
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS LYNN
  • NPI Number: 1609117720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140013
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4166
Street 935 STATE HWY 11 SOUTH
City SWEETWATER
State TN
ZIP 37874
Phone 423 337-3052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Pharmacy
Lab Director NICHOLAS LYNN

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