03D2127446 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4233

Laboratory Demographics

  • CLIA Code: 03D2127446
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4233
  • Facility Address: 6550 WEST HAPPY VALLEY RD
    GLENDALE, AZ
    ZIP 85310
  • Facility Phone: 479 258-7034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITESH BHAVSAR
  • NPI Number: 1871774448
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2127446
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4233
Street 6550 WEST HAPPY VALLEY RD
City GLENDALE
State AZ
ZIP 85310
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 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director RITESH BHAVSAR

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