44D2140126 CLIA NUMBER - WALMART PHARMACY 10-0698

Laboratory Demographics

  • CLIA Code: 44D2140126
  • Facility Name: WALMART PHARMACY 10-0698
  • Facility Address: 4495 KEITH STREET NW
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 478-2966
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW LITTLETON
  • NPI Number: 1013934280
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140126
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0698
Street 4495 KEITH STREET NW
City CLEVELAND
State TN
ZIP 37312
Phone 423 478-2966
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 ANDREW LITTLETON

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