44D2140207 CLIA NUMBER - WALMART PHARMACY 10-0097

Laboratory Demographics

  • CLIA Code: 44D2140207
  • Facility Name: WALMART PHARMACY 10-0097
  • Facility Address: 628 HIGHWAY 51 N
    RIPLEY, TN
    ZIP 38063
  • Facility Phone: 731 635-5582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY JONES
  • NPI Number: 1609893890
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140207
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0097
Street 628 HIGHWAY 51 N
City RIPLEY
State TN
ZIP 38063
Phone 731 635-5582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director KELLY JONES

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