44D2145636 CLIA NUMBER - WALMART PHARMACY 10-4533

Laboratory Demographics

  • CLIA Code: 44D2145636
  • Facility Name: WALMART PHARMACY 10-4533
  • Facility Address: 105 CHICKASAW RIDGE ROAD
    OAKLAND, TN
    ZIP 38060
  • Facility Phone: 901 465-0466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY JETT
  • NPI Number: 1083890412
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2145636
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4533
Street 105 CHICKASAW RIDGE ROAD
City OAKLAND
State TN
ZIP 38060
Phone 901 465-0466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director ASHLEY JETT

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