03D2157993 CLIA NUMBER - WALMART PHARMACY 10-1512

Laboratory Demographics

  • CLIA Code: 03D2157993
  • Facility Name: WALMART PHARMACY 10-1512
  • Facility Address: 800 W WARNER RD
    CHANDLER, AZ
    ZIP 85225
  • Facility Phone: 480 786-0682
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GOKUL BOYAPATY
  • NPI Number: 1073530283
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2157993
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1512
Street 800 W WARNER RD
City CHANDLER
State AZ
ZIP 85225
Phone 480 786-0682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director GOKUL BOYAPATY

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