03D2158783 CLIA NUMBER - WALMART PHARMACY 10-1218

Laboratory Demographics

  • CLIA Code: 03D2158783
  • Facility Name: WALMART PHARMACY 10-1218
  • Facility Address: 1741 E FLORENCE BLVD
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 421-1234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEMALI PATON
  • NPI Number: 1083631295
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158783
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1218
Street 1741 E FLORENCE BLVD
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 421-1234
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 HEMALI PATON

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This page was last updated on: 6/4/2025