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03D2158753 CLIA NUMBER - WALMART PHARMACY 10-5329

Laboratory Demographics

CLIA Number: 03D2158753

Facility Name: WALMART PHARMACY 10-5329

Facility Address:
4435 W ANTHEM WAY
ANTHEM, AZ
ZIP 85086
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Facility Phone Number: 623 551-6327

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700803186

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 03D2158753
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5329
Street 4435 W ANTHEM WAY
City ANTHEM
State AZ
ZIP 85086
Phone 623 551-6327
CertificateType 4
CertificateEffectiveDate 12/6/2022
CertificateExpirationDate 12/5/2024
FacilityType Waiver

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