03D2117153 CLIA NUMBER - WALMART PHARMACY

Laboratory Demographics

  • CLIA Code: 03D2117153
  • Facility Name: WALMART PHARMACY
  • Facility Address: 4747 E CACTUS RD
    PHOENIX, AZ
    ZIP 85032
  • Facility Phone: 602 404-3722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOJ G. PATEL
  • NPI Number: 1427075639
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2117153
LAB Type Pharmacy
Facility Name WALMART PHARMACY
Street 4747 E CACTUS RD
City PHOENIX
State AZ
ZIP 85032
Phone 602 404-3722
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 MANOJ G. PATEL

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