44D2140115 CLIA NUMBER - WALMART PHARMACY 10-0683

Laboratory Demographics

  • CLIA Code: 44D2140115
  • Facility Name: WALMART PHARMACY 10-0683
  • Facility Address: 2130 N LOCUST AVE
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 762-6058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZANNE WISDOM
  • NPI Number: 1164440913
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140115
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0683
Street 2130 N LOCUST AVE
City LAWRENCEBURG
State TN
ZIP 38464
Phone 931 762-6058
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 SUZANNE WISDOM

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