03D2133157 CLIA NUMBER - WALMART PHARMACY 10-5342

Laboratory Demographics

  • CLIA Code: 03D2133157
  • Facility Name: WALMART PHARMACY 10-5342
  • Facility Address: 2501 S AVENUE B
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 317-6863
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. SANG M. NGUYEN
  • NPI Number: 1780601906
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2023
Certificate Expiration Date 7/5/2025
Facility Type Pharmacy
Lab Director DR. SANG M. NGUYEN

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This page was last updated on: 3/20/2025