44D2140445 CLIA NUMBER - WALMART PHARMACY 10-3835

Laboratory Demographics

  • CLIA Code: 44D2140445
  • Facility Name: WALMART PHARMACY 10-3835
  • Facility Address: 5588 LITTLE DEBBIE PKWY
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 238-1059
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW HOLT
  • NPI Number: 1376608331
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140445
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3835
Street 5588 LITTLE DEBBIE PKWY
City OOLTEWAH
State TN
ZIP 37363
Phone 423 238-1059
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 MATTHEW HOLT

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