44D2140540 CLIA NUMBER - WALMART PHARMACY 10-0690

Laboratory Demographics

  • CLIA Code: 44D2140540
  • Facility Name: WALMART PHARMACY 10-0690
  • Facility Address: 1001 OVER MOUNTAIN DRIVE
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: 423 543-8202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY HAMMONDS
  • NPI Number: 1417974692
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140540
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0690
Street 1001 OVER MOUNTAIN DRIVE
City ELIZABETHTON
State TN
ZIP 37643
Phone 423 543-8202
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 EMILY HAMMONDS

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