44D2144055 CLIA NUMBER - WALMART MARKET PHARMACY 10-5188

Laboratory Demographics

  • CLIA Code: 44D2144055
  • Facility Name: WALMART MARKET PHARMACY 10-5188
  • Facility Address: 7636 MIDDLE VALLEY ROAD
    HIXSON, TN
    ZIP 37343
  • Facility Phone: 423 242-0623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY T. THOMAS
  • NPI Number: 1033136213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2144055
LAB Type Pharmacy
Facility Name WALMART MARKET PHARMACY 10-5188
Street 7636 MIDDLE VALLEY ROAD
City HIXSON
State TN
ZIP 37343
Phone 423 242-0623
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 ASHLEY T. THOMAS

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