02D2142547 CLIA NUMBER - WALMART PHARMACY 10-2071

Laboratory Demographics

  • CLIA Code: 02D2142547
  • Facility Name: WALMART PHARMACY 10-2071
  • Facility Address: 8900 OLD SEWARD HIGHWAY
    ANCHORAGE, AK
    ZIP 99515
  • Facility Phone: 907 344-7300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN PHIPPS
  • NPI Number: 1427075738
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2142547
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2071
Street 8900 OLD SEWARD HIGHWAY
City ANCHORAGE
State AK
ZIP 99515
Phone 907 344-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Pharmacy
Lab Director BENJAMIN PHIPPS

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This page was last updated on: 3/20/2025