03D2138395 CLIA NUMBER - WALMART PHARMACY 10-2515

Laboratory Demographics

  • CLIA Code: 03D2138395
  • Facility Name: WALMART PHARMACY 10-2515
  • Facility Address: 3721 E THOMAS RD
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 685-0440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CLARKE
  • NPI Number: 1982621108
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2138395
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2515
Street 3721 E THOMAS RD
City PHOENIX
State AZ
ZIP 85018
Phone 602 685-0440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Pharmacy
Lab Director JEREMY CLARKE

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