44D2140443 CLIA NUMBER - WALMART PHARMACY 10-0218

Laboratory Demographics

  • CLIA Code: 44D2140443
  • Facility Name: WALMART PHARMACY 10-0218
  • Facility Address: 1017 MUBERRY AVE
    SELMER, TN
    ZIP 38375
  • Facility Phone: 731 645-3207
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE MITCHELL
  • NPI Number: 1326065517
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140443
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0218
Street 1017 MUBERRY AVE
City SELMER
State TN
ZIP 38375
Phone 731 645-3207
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 JULIE MITCHELL

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