03D2134949 CLIA NUMBER - WALMART PHARMACY 10-4430

Laboratory Demographics

  • CLIA Code: 03D2134949
  • Facility Name: WALMART PHARMACY 10-4430
  • Facility Address: 41650 W MARICOPA CASA GRANDE HWY
    MARICOPA, AZ
    ZIP 85138
  • Facility Phone: 520 568-3302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS R. MCMANUS
  • NPI Number: 1255573903
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2134949
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4430
Street 41650 W MARICOPA CASA GRANDE HWY
City MARICOPA
State AZ
ZIP 85138
Phone 520 568-3302
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 DOUGLAS R. MCMANUS

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: 9/29/2025