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: (479) 258-7034

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1275696361
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 4792587034

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This page was last updated on: 5/19/2019