03D2157632 CLIA NUMBER - WALMART PHARMACY 10-3799

Laboratory Demographics

  • CLIA Code: 03D2157632
  • Facility Name: WALMART PHARMACY 10-3799
  • Facility Address: 240 W BASELINE RD
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 668-9512
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER BARTON
  • NPI Number: 1700941754
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2157632
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3799
Street 240 W BASELINE RD
City MESA
State AZ
ZIP 85210
Phone 480 668-9512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Pharmacy
Lab Director TYLER BARTON

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