44D2140398 CLIA NUMBER - WALMART PHARMACY 10-0695

Laboratory Demographics

  • CLIA Code: 44D2140398
  • Facility Name: WALMART PHARMACY 10-0695
  • Facility Address: 2232 GALLATIN PIKE
    MADISON, TN
    ZIP 37115
  • Facility Phone: 615 859-6216
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DERCK A. DEAN
  • NPI Number: 1164449351
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140398
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0695
Street 2232 GALLATIN PIKE
City MADISON
State TN
ZIP 37115
Phone 615 859-6216
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 DERCK A. DEAN

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