03D2158042 CLIA NUMBER - WALMART PHARMACY 10-5369

Laboratory Demographics

  • CLIA Code: 03D2158042
  • Facility Name: WALMART PHARMACY 10-5369
  • Facility Address: 1100 N ESTRELLA PKWY
    GOODYEAR, AZ
    ZIP 85338
  • Facility Phone: 623 925-9883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL CIURRO
  • NPI Number: 1770640146
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2158042
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5369
Street 1100 N ESTRELLA PKWY
City GOODYEAR
State AZ
ZIP 85338
Phone 623 925-9883
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 MICHAEL CIURRO

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