03D2158699 CLIA NUMBER - WALMART PHARMACY 10-2112

Laboratory Demographics

  • CLIA Code: 03D2158699
  • Facility Name: WALMART PHARMACY 10-2112
  • Facility Address: 4915 N PIMA RD
    SCOTTSDALE, AZ
    ZIP 85251
  • Facility Phone: 480 941-3131
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGHAN MILLER
  • NPI Number: 1699792804
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158699
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2112
Street 4915 N PIMA RD
City SCOTTSDALE
State AZ
ZIP 85251
Phone 480 941-3131
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 MEGHAN MILLER

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