03D2135042 CLIA NUMBER - WALMART PHARMACY 10-5331

Laboratory Demographics

  • CLIA Code: 03D2135042
  • Facility Name: WALMART PHARMACY 10-5331
  • Facility Address: 7575 W LOWER BUCKEYE RD
    PHOENIX, AZ
    ZIP 85043
  • Facility Phone: 623 907-0712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT L. WEBB JR
  • NPI Number: 1679955504
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2135042
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5331
Street 7575 W LOWER BUCKEYE RD
City PHOENIX
State AZ
ZIP 85043
Phone 623 907-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director ROBERT L. WEBB JR

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