44D2140390 CLIA NUMBER - WALMART PHARMACY 10-0663

Laboratory Demographics

  • CLIA Code: 44D2140390
  • Facility Name: WALMART PHARMACY 10-0663
  • Facility Address: 1815 DECATUR PIKE
    ATHENS, TN
    ZIP 37303
  • Facility Phone: 423 745-1495
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN MARTIN
  • NPI Number: 1255358446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140390
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0663
Street 1815 DECATUR PIKE
City ATHENS
State TN
ZIP 37303
Phone 423 745-1495
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 MEGAN MARTIN

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