44D2140532 CLIA NUMBER - WALMART PHARMACY 10-3959

Laboratory Demographics

  • CLIA Code: 44D2140532
  • Facility Name: WALMART PHARMACY 10-3959
  • Facility Address: 3120 MCKAMEY ROAD
    KNOXVILLE, TN
    ZIP 37921
  • Facility Phone: 865 340-4508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA S. FLOMBERG
  • NPI Number: 1013467505
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140532
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3959
Street 3120 MCKAMEY ROAD
City KNOXVILLE
State TN
ZIP 37921
Phone 865 340-4508
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 GINA S. FLOMBERG

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