44D2140531 CLIA NUMBER - WALMART PHARAMCY 10-0950

Laboratory Demographics

  • CLIA Code: 44D2140531
  • Facility Name: WALMART PHARAMCY 10-0950
  • Facility Address: 8400 HIGHWAY 64
    BARTLETT, TN
    ZIP 38133
  • Facility Phone: 901 382-6106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. BURKE
  • NPI Number: 1518985357
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140531
LAB Type Pharmacy
Facility Name WALMART PHARAMCY 10-0950
Street 8400 HIGHWAY 64
City BARTLETT
State TN
ZIP 38133
Phone 901 382-6106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Pharmacy
Lab Director MATTHEW D. BURKE

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