44D2140399 CLIA NUMBER - WALMART PHARMACY 10-1226

Laboratory Demographics

  • CLIA Code: 44D2140399
  • Facility Name: WALMART PHARMACY 10-1226
  • Facility Address: 1626 HWY 12 S
    ASHLAND CITY, TN
    ZIP 37015
  • Facility Phone: 615 792-7720
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD W. CROWSON
  • NPI Number: 1962420703
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140399
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1226
Street 1626 HWY 12 S
City ASHLAND CITY
State TN
ZIP 37015
Phone 615 792-7720
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 RONALD W. CROWSON

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