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03D2157636 CLIA NUMBER - WALMART PHARMACY 10-3846

Laboratory Demographics

CLIA Number: 03D2157636

Facility Name: WALMART PHARMACY 10-3846

Facility Address:
2725 E MCKELLIPS RD
MESA, AZ
ZIP 85213
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Facility Phone Number: 480 898-2849

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1558579482

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 03D2157636
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3846
Street 2725 E MCKELLIPS RD
City MESA
State AZ
ZIP 85213
Phone 480 898-2849
CertificateType 4
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024