03D2138402 CLIA NUMBER - WALMART PHARMACY 10-3751

Laboratory Demographics

  • CLIA Code: 03D2138402
  • Facility Name: WALMART PHARMACY 10-3751
  • Facility Address: 1725 W HUNT HWY
    SAN TAN VALLEY, AZ
    ZIP 85143
  • Facility Phone: 480 677-2540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM YEN TRAN
  • NPI Number: 1346307600
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2138402
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3751
Street 1725 W HUNT HWY
City SAN TAN VALLEY
State AZ
ZIP 85143
Phone 480 677-2540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Pharmacy
Lab Director KIM YEN TRAN

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This page was last updated on: 6/4/2025