44D2140387 CLIA NUMBER - WALMART PHARMACY 10-0675

Laboratory Demographics

  • CLIA Code: 44D2140387
  • Facility Name: WALMART PHARMACY 10-0675
  • Facility Address: 1601 W REELFOOT AVE
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 731 885-6498
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA COX
  • NPI Number: 1144247321
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140387
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0675
Street 1601 W REELFOOT AVE
City UNION CITY
State TN
ZIP 38261
Phone 731 885-6498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Pharmacy
Lab Director SARA COX

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