44D2140124 CLIA NUMBER - WALMART PHARMACY 10-0620

Laboratory Demographics

  • CLIA Code: 44D2140124
  • Facility Name: WALMART PHARMACY 10-0620
  • Facility Address: 220 CENTURY BLVD
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 968-9559
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN QUILLEN
  • NPI Number: 1679590855
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2140124
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0620
Street 220 CENTURY BLVD
City BRISTOL
State TN
ZIP 37620
Phone 423 968-9559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director BRYAN QUILLEN

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