03D2158486 CLIA NUMBER - WALMART PHARMACY 10-1533

Laboratory Demographics

CLIA Number: 03D2158486

Facility Name: WALMART PHARMACY 10-1533

Facility Address:
7975 W PEORIA AVE
PEORIA, AZ
ZIP 85345
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Facility Phone Number: 623 878-4307

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790702900

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType 4
CertificateEffectiveDate 11/29/2022
CertificateExpirationDate 11/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024