44D2140397 CLIA NUMBER - WALMART PHARMACY 10-0599

Laboratory Demographics

  • CLIA Code: 44D2140397
  • Facility Name: WALMART PHARMACY 10-0599
  • Facility Address: 3200 FT HENRY DRIVE
    KINGSPORT, TN
    ZIP 37664
  • Facility Phone: 423 392-9860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH D. QUALLS
  • NPI Number: 1427075613
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140397
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0599
Street 3200 FT HENRY DRIVE
City KINGSPORT
State TN
ZIP 37664
Phone 423 392-9860
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 JOSEPH D. QUALLS

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