44D2140208 CLIA NUMBER - WALMART PHARMACY 10-0466

Laboratory Demographics

  • CLIA Code: 44D2140208
  • Facility Name: WALMART PHARMACY 10-0466
  • Facility Address: 1604 W MARKET STREET
    BOLIVAR, TN
    ZIP 38008
  • Facility Phone: 731 658-7181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY K. HENDRIX
  • NPI Number: 1881611069
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140208
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0466
Street 1604 W MARKET STREET
City BOLIVAR
State TN
ZIP 38008
Phone 731 658-7181
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 LINDSAY K. HENDRIX

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