03D2120928 CLIA NUMBER - Wal-Mart Stores East, Lp

Laboratory Demographics

CLIA Number: 03D2120928

Facility Name: Wal-Mart Stores East, Lp

Facility Address:
2900 S Pacific Ave,
Yuma, AZ
ZIP 85365
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Facility Phone Number: (479) 258-7034

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1215010855
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CLIA Record

Field Name Field Value
CLIA Number 03D2120928
LAB Type PHARMACY
Facility Name Wal-Mart Stores East, Lp
Street 2900 S Pacific Ave,
City Yuma
State AZ
ZIP 85365
Phone 4792587034

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