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03D2159093 CLIA NUMBER - WALMART PHARMACY 10-3360

Laboratory Demographics

CLIA Number: 03D2159093

Facility Name: WALMART PHARMACY 10-3360

Facility Address:
2750 E GERMANN RD
CHANDLER, AZ
ZIP 85286
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Facility Phone Number: 480 812-2942

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1972660348

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 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
CertificateType 4
CertificateEffectiveDate 12/12/2022
CertificateExpirationDate 12/11/2024
FacilityType Waiver

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