44D2140025 CLIA NUMBER - WALMART PHARMACY 10-0238

Laboratory Demographics

  • CLIA Code: 44D2140025
  • Facility Name: WALMART PHARMACY 10-0238
  • Facility Address: 1655 W COLLEGE STREET
    PULASKI, TN
    ZIP 38478
  • Facility Phone: 931 424-5584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE SHORT
  • NPI Number: 1437176625
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140025
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0238
Street 1655 W COLLEGE STREET
City PULASKI
State TN
ZIP 38478
Phone 931 424-5584
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 NATALIE SHORT

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