44D2140138 CLIA NUMBER - WALMART PHARMACY 10-0671

Laboratory Demographics

  • CLIA Code: 44D2140138
  • Facility Name: WALMART PHARMACY 10-0671
  • Facility Address: 615 S CUMBERLAND STREET
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 449-0611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH ABOU-RAHMA
  • NPI Number: 1366469561
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140138
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0671
Street 615 S CUMBERLAND STREET
City LEBANON
State TN
ZIP 37087
Phone 615 449-0611
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 JOSEPH ABOU-RAHMA

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