44D2140401 CLIA NUMBER - WALMART PHARMACY 10-0177

Laboratory Demographics

  • CLIA Code: 44D2140401
  • Facility Name: WALMART PHARMACY 10-0177
  • Facility Address: 1210 MINERAL WELLS AVE
    PARIS, TN
    ZIP 38242
  • Facility Phone: 731 644-0220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. DUNN
  • NPI Number: 1952328130
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140401
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0177
Street 1210 MINERAL WELLS AVE
City PARIS
State TN
ZIP 38242
Phone 731 644-0220
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 WILLIAM D. DUNN

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