44D2140087 CLIA NUMBER - WALMART PHARMACY 10-0710

Laboratory Demographics

  • CLIA Code: 44D2140087
  • Facility Name: WALMART PHARMACY 10-0710
  • Facility Address: 4424 LEBANON PIKE
    HERMITAGE, TN
    ZIP 37076
  • Facility Phone: 615 883-9520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDANA BAKER
  • NPI Number: 1457378655
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2140087
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0710
Street 4424 LEBANON PIKE
City HERMITAGE
State TN
ZIP 37076
Phone 615 883-9520
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 JORDANA BAKER

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