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02D2142158 CLIA NUMBER - WALMART PHARMACY 10-2070

Laboratory Demographics

CLIA Number: 02D2142158

Facility Name: WALMART PHARMACY 10-2070

Facility Address:
3101 A STREET
ANCHORAGE, AK
ZIP 99503
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Facility Phone Number: 907 563-6600

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1245257559

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 02D2142158
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2070
Street 3101 A STREET
City ANCHORAGE
State AK
ZIP 99503
Phone 907 563-6600
CertificateType 4
CertificateEffectiveDate 1/4/2024
CertificateExpirationDate 1/3/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024