03D2157637 CLIA NUMBER - WALMART PHARMACY 10-3896

Laboratory Demographics

  • CLIA Code: 03D2157637
  • Facility Name: WALMART PHARMACY 10-3896
  • Facility Address: 21655 N LAKE PLEASANT PKWY
    PEORIA, AZ
    ZIP 85382
  • Facility Phone: 623 537-4591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW LAM
  • NPI Number: 1912181942
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2157637
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3896
Street 21655 N LAKE PLEASANT PKWY
City PEORIA
State AZ
ZIP 85382
Phone 623 537-4591
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 MATTHEW LAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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