44D2144041 CLIA NUMBER - WALMART PHARMACY 10-5122

Laboratory Demographics

  • CLIA Code: 44D2144041
  • Facility Name: WALMART PHARMACY 10-5122
  • Facility Address: 2856 HICKORY HILL ROAD
    MEMPHIS, TN
    ZIP 38115
  • Facility Phone: 901 362-3633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERTAN SHAHIDI
  • NPI Number: 1962421974
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2144041
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5122
Street 2856 HICKORY HILL ROAD
City MEMPHIS
State TN
ZIP 38115
Phone 901 362-3633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Pharmacy
Lab Director ERTAN SHAHIDI

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