44D2140130 CLIA NUMBER - WALMART PHARMACY 10-0175

Laboratory Demographics

  • CLIA Code: 44D2140130
  • Facility Name: WALMART PHARMACY 10-0175
  • Facility Address: 560 W POPLAR AVE
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 854-0010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD G. POWERS
  • NPI Number: 1346267531
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140130
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0175
Street 560 W POPLAR AVE
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 854-0010
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 RICHARD G. POWERS

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