44D2140538 CLIA NUMBER - WALMART PHARMACY 10-0272

Laboratory Demographics

  • CLIA Code: 44D2140538
  • Facility Name: WALMART PHARMACY 10-0272
  • Facility Address: 3600 MALLORY LANE
    FRANKLIN, TN
    ZIP 37067
  • Facility Phone: 615 771-0391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM B. WINTERS
  • NPI Number: 1962429159
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140538
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0272
Street 3600 MALLORY LANE
City FRANKLIN
State TN
ZIP 37067
Phone 615 771-0391
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 TIM B. WINTERS

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