03D2158753 CLIA NUMBER - WALMART PHARMACY 10-5329

Laboratory Demographics

  • CLIA Code: 03D2158753
  • Facility Name: WALMART PHARMACY 10-5329
  • Facility Address: 4435 W ANTHEM WAY
    ANTHEM, AZ
    ZIP 85086
  • Facility Phone: 623 551-6327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES R. BATAOEL
  • NPI Number: 1700803186
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director JAMES R. BATAOEL

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