03D2117152 CLIA NUMBER - WAL-MART PHARMACY 10-5835

Laboratory Demographics

  • CLIA Code: 03D2117152
  • Facility Name: WAL-MART PHARMACY 10-5835
  • Facility Address: 34399 N CAVE CREEK RD
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 480 296-7410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN POWELL
  • NPI Number: 1467749770
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2117152
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY 10-5835
Street 34399 N CAVE CREEK RD
City CAVE CREEK
State AZ
ZIP 85331
Phone 480 296-7410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Pharmacy
Lab Director KRISTEN POWELL

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