44D2140446 CLIA NUMBER - WALMART PHARMACY 10-1080

Laboratory Demographics

  • CLIA Code: 44D2140446
  • Facility Name: WALMART PHARMACY 10-1080
  • Facility Address: 3111 BROWNS MILL ROAD
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 282-9484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID DISHNER
  • NPI Number: 1477570646
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140446
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1080
Street 3111 BROWNS MILL ROAD
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 282-9484
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 DAVID DISHNER

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