44D2140545 CLIA NUMBER - WALMART PHARMACY 10-3852

Laboratory Demographics

  • CLIA Code: 44D2140545
  • Facility Name: WALMART PHARMACY 10-3852
  • Facility Address: 110 ROCKY BOTTOM DRIVE
    UNICOI, TN
    ZIP 37692
  • Facility Phone: 423 743-9998
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES WORKMAN
  • NPI Number: 1851333090
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2140545
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3852
Street 110 ROCKY BOTTOM DRIVE
City UNICOI
State TN
ZIP 37692
Phone 423 743-9998
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 CHARLES WORKMAN

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