03D2158486 CLIA NUMBER - WALMART PHARMACY 10-1533

Laboratory Demographics

  • CLIA Code: 03D2158486
  • Facility Name: WALMART PHARMACY 10-1533
  • Facility Address: 7975 W PEORIA AVE
    PEORIA, AZ
    ZIP 85345
  • Facility Phone: 623 878-4307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA STURSBERG
  • NPI Number: 1790702900
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158486
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1533
Street 7975 W PEORIA AVE
City PEORIA
State AZ
ZIP 85345
Phone 623 878-4307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Pharmacy
Lab Director LISA STURSBERG

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