02D2134316 CLIA NUMBER - WALMART PHARMACY #2722

Laboratory Demographics

  • CLIA Code: 02D2134316
  • Facility Name: WALMART PHARMACY #2722
  • Facility Address: 537 JOHANSEN EXPRESSWAY
    FAIRBANKS, AK
    ZIP 99701
  • Facility Phone: 907 451-9906
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. REICHART
  • NPI Number: 1447277652
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2134316
LAB Type Pharmacy
Facility Name WALMART PHARMACY #2722
Street 537 JOHANSEN EXPRESSWAY
City FAIRBANKS
State AK
ZIP 99701
Phone 907 451-9906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Pharmacy
Lab Director MATTHEW D. REICHART

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