03D2120919 CLIA NUMBER - Wal-Mart Stores East, Lp

Laboratory Demographics

CLIA Number: 03D2120919

Facility Name: Wal-Mart Stores East, Lp

Facility Address:
2840 Highway 95,
Bullhead City, AZ
ZIP 86442
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Facility Phone Number: (479) 258-7034

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1275621310
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CLIA Record

Field Name Field Value
CLIA Number 03D2120919
LAB Type PHARMACY
Facility Name Wal-Mart Stores East, Lp
Street 2840 Highway 95,
City Bullhead City
State AZ
ZIP 86442
Phone 4792587034

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