03D2158698 CLIA NUMBER - WALMART PHARMACY 10-1381

Laboratory Demographics

  • CLIA Code: 03D2158698
  • Facility Name: WALMART PHARMACY 10-1381
  • Facility Address: 2555 W APACHE TRL
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 480 380-3300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SABRA CLARK
  • NPI Number: 1336166545
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158698
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1381
Street 2555 W APACHE TRL
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 480 380-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Pharmacy
Lab Director SABRA CLARK

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