03D2133156 CLIA NUMBER - WALMART PHARMACY 10-3465

Laboratory Demographics

  • CLIA Code: 03D2133156
  • Facility Name: WALMART PHARMACY 10-3465
  • Facility Address: 5010 N 95TH AVE
    GLENDALE, AZ
    ZIP 85305
  • Facility Phone: 623 872-0563
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KUSHANG VASHI
  • NPI Number: 1972520195
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2133156
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3465
Street 5010 N 95TH AVE
City GLENDALE
State AZ
ZIP 85305
Phone 623 872-0563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director KUSHANG VASHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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