44D2140439 CLIA NUMBER - WALMART PHARMACY 10-0735

Laboratory Demographics

  • CLIA Code: 44D2140439
  • Facility Name: WALMART PHARMACY 10-0735
  • Facility Address: 2675 DECHERD BLVD
    WINCHESTER, TN
    ZIP 37398
  • Facility Phone: 931 967-0046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FELICIA SELLS
  • NPI Number: 1508883786
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140439
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0735
Street 2675 DECHERD BLVD
City WINCHESTER
State TN
ZIP 37398
Phone 931 967-0046
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 FELICIA SELLS

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