44D2145014 CLIA NUMBER - WALMART PHARMACY 10-4692

Laboratory Demographics

  • CLIA Code: 44D2145014
  • Facility Name: WALMART PHARMACY 10-4692
  • Facility Address: 4150 RINGGOLD ROAD
    EAST RIDGE, TN
    ZIP 37412
  • Facility Phone: 423 508-1154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER TOULSON
  • NPI Number: 1881076453
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2145014
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4692
Street 4150 RINGGOLD ROAD
City EAST RIDGE
State TN
ZIP 37412
Phone 423 508-1154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Pharmacy
Lab Director AMBER TOULSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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