03D2159093 CLIA NUMBER - WALMART PHARMACY 10-3360

Laboratory Demographics

  • CLIA Code: 03D2159093
  • Facility Name: WALMART PHARMACY 10-3360
  • Facility Address: 2750 E GERMANN RD
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 812-2942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER HICKS
  • NPI Number: 1972660348
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2159093
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3360
Street 2750 E GERMANN RD
City CHANDLER
State AZ
ZIP 85286
Phone 480 812-2942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director TYLER HICKS

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