03D2117170 CLIA NUMBER - Wal-Mart Stores East, Lp

Laboratory Demographics

CLIA Number: 03D2117170

Facility Name: Wal-Mart Stores East, Lp

Facility Address:
800 E Southern Ave
Tempe, AZ
ZIP 85282
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Facility Phone Number: (480) 966-2791

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1871989087

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2117170
LAB Type	PHARMACY
Facility Name	Wal-Mart Stores East, Lp
Street	800 E Southern Ave
City	Tempe
State	AZ
ZIP	85282
Phone	(480) 966-2791

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This page was last updated on: 4/7/2021