03D2158381 CLIA NUMBER - WALMART PHARMACY 10-3315

Laboratory Demographics

  • CLIA Code: 03D2158381
  • Facility Name: WALMART PHARMACY 10-3315
  • Facility Address: 4230 W UNION HILLS DRIVE
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 869-7985
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVA SHEENA
  • NPI Number: 1780814228
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 03D2158381
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3315
Street 4230 W UNION HILLS DRIVE
City GLENDALE
State AZ
ZIP 85308
Phone 623 869-7985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director EVA SHEENA

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