03D2133157 CLIA NUMBER - WALMART PHARMACY 10-5342

Laboratory Demographics

CLIA Number: 03D2133157

Facility Name: WALMART PHARMACY 10-5342

Facility Address:
2501 S AVENUE B
YUMA, AZ
ZIP 85364
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Facility Phone Number: (928) 317-6863

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1780601906

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	03D2133157
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-5342
Street	2501 S AVENUE B
City	YUMA
State	AZ
ZIP	85364
Phone	(928) 317-6863

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This page was last updated on: 5/11/2023