03D2117154 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

CLIA Number: 03D2117154

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
6150 S 35TH AVE
PHOENIX, AZ
ZIP 85041
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Facility Phone Number: (602) 243-8517

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1275696361

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	03D2117154
LAB Type	PHARMACY
Facility Name	WAL-MART STORES EAST, LP
Street	6150 S 35TH AVE
City	PHOENIX
State	AZ
ZIP	85041
Phone	(602) 243-8517

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This page was last updated on: 5/11/2023