03D2133159 CLIA NUMBER - WALMART PHARMACY 10-4293

Laboratory Demographics

CLIA Number: 03D2133159

Facility Name: WALMART PHARMACY 10-4293

Facility Address:
2435 E BASELINE RD
PHOENIX, AZ
ZIP 85042
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Facility Phone Number: (602) 232-2982

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1245411818

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	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

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