03D2159007 CLIA NUMBER - WALMART PHARMACY 10-2767

Laboratory Demographics

  • CLIA Code: 03D2159007
  • Facility Name: WALMART PHARMACY 10-2767
  • Facility Address: 4505 E MCKELLIPS RD
    MESA, AZ
    ZIP 85215
  • Facility Phone: 480 641-6740
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AN HUYNH
  • NPI Number: 1508883729
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2159007
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2767
Street 4505 E MCKELLIPS RD
City MESA
State AZ
ZIP 85215
Phone 480 641-6740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director AN HUYNH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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