03D2157957 CLIA NUMBER - WALMART PHARMACY 10-1149

Laboratory Demographics

  • CLIA Code: 03D2157957
  • Facility Name: WALMART PHARMACY 10-1149
  • Facility Address: 755 S 20TH AVE
    SAFFORD, AZ
    ZIP 85546
  • Facility Phone: 928 428-2291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER HANSON
  • NPI Number: 1356368567
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2157957
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1149
Street 755 S 20TH AVE
City SAFFORD
State AZ
ZIP 85546
Phone 928 428-2291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director HEATHER HANSON

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