03D2158701 CLIA NUMBER - WALMART PHARMACY 10-6480

Laboratory Demographics

  • CLIA Code: 03D2158701
  • Facility Name: WALMART PHARMACY 10-6480
  • Facility Address: 3460 W CHANDLER BLVD
    CHANDLER, AZ
    ZIP 85226
  • Facility Phone: 480 333-2656
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SHAILA SHUKLA
  • NPI Number: 1912396375
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158701
LAB Type Hospital
Facility Name WALMART PHARMACY 10-6480
Street 3460 W CHANDLER BLVD
City CHANDLER
State AZ
ZIP 85226
Phone 480 333-2656
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 Hospital
Lab Director SHAILA SHUKLA

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