03D2133159 CLIA NUMBER - WALMART PHARMACY 10-4293

Laboratory Demographics

  • CLIA Code: 03D2133159
  • Facility Name: WALMART PHARMACY 10-4293
  • Facility Address: 2435 E BASELINE RD
    PHOENIX, AZ
    ZIP 85042
  • Facility Phone: 602 232-2982
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHENIER MARKS
  • NPI Number: 1245411818
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2133159
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4293
Street 2435 E BASELINE RD
City PHOENIX
State AZ
ZIP 85042
Phone 602 232-2982
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 SHENIER MARKS

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: 6/4/2025