03D2158601 CLIA NUMBER - WALMART PHARMACY 10-2671

Laboratory Demographics

  • CLIA Code: 03D2158601
  • Facility Name: WALMART PHARMACY 10-2671
  • Facility Address: 1175 S ARIZONA AVE
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 726-0910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE KELLY
  • NPI Number: 1528085909
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2158601
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2671
Street 1175 S ARIZONA AVE
City CHANDLER
State AZ
ZIP 85286
Phone 480 726-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Pharmacy
Lab Director KYLE KELLY

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