44D2140086 CLIA NUMBER - WALMART PHARMACY 10-1115

Laboratory Demographics

  • CLIA Code: 44D2140086
  • Facility Name: WALMART PHARMACY 10-1115
  • Facility Address: 612 E MAIN STREET
    HOHENWALD, TN
    ZIP 38462
  • Facility Phone: 931 796-3284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA I. SULLIVAN
  • NPI Number: 1386661551
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2140086
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1115
Street 612 E MAIN STREET
City HOHENWALD
State TN
ZIP 38462
Phone 931 796-3284
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 MELISSA I. SULLIVAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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