44D2140535 CLIA NUMBER - WALMART PHARMACY 10-0879

Laboratory Demographics

  • CLIA Code: 44D2140535
  • Facility Name: WALMART PHARMACY 10-0879
  • Facility Address: 419 HIGHWAY 52 BYP W
    LAFAYETTE, TN
    ZIP 37083
  • Facility Phone: 615 666-6303
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALAMITY JANE WHITAKER
  • NPI Number: 1700803996
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140535
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0879
Street 419 HIGHWAY 52 BYP W
City LAFAYETTE
State TN
ZIP 37083
Phone 615 666-6303
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 CALAMITY JANE WHITAKER

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