03D2135043 CLIA NUMBER - WALMART PHARMACY 10-5330

Laboratory Demographics

CLIA Number: 03D2135043

Facility Name: WALMART PHARMACY 10-5330

Facility Address:
6145 N 35TH AVE
PHOENIX, AZ
ZIP 85017
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Facility Phone Number: (602) 973-6561

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1255358628

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	03D2135043
LAB Type	PHARMACY
Facility Name	WALMART PHARMACY 10-5330
Street	6145 N 35TH AVE
City	PHOENIX
State	AZ
ZIP	85017
Phone	(602) 973-6561

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