03D2117155 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2766

Laboratory Demographics

  • CLIA Code: 03D2117155
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2766
  • Facility Address: 15355 N NORTHSIGHT BLVD
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 479 258-7034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARAH BRABOY
  • NPI Number: 1164449385
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2117155
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2766
Street 15355 N NORTHSIGHT BLVD
City SCOTTSDALE
State AZ
ZIP 85260
Phone 479 258-7034
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 KARAH BRABOY

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This page was last updated on: 9/29/2025