03D2134948 CLIA NUMBER - WALMART PHARMACY 10-3845

Laboratory Demographics

  • CLIA Code: 03D2134948
  • Facility Name: WALMART PHARMACY 10-3845
  • Facility Address: 6645 W PEORIA AVE
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 623 773-2954
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICIA HUFF
  • NPI Number: 1598965154
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2134948
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3845
Street 6645 W PEORIA AVE
City GLENDALE
State AZ
ZIP 85302
Phone 623 773-2954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director PATRICIA HUFF

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