03D2160640 CLIA NUMBER - WALMART PHARMACY 10-2777

Laboratory Demographics

  • CLIA Code: 03D2160640
  • Facility Name: WALMART PHARMACY 10-2777
  • Facility Address: 13770 W BELL RD
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 544-2226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT LOWELL
  • NPI Number: 1073530291
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2160640
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2777
Street 13770 W BELL RD
City SURPRISE
State AZ
ZIP 85374
Phone 623 544-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director MATT LOWELL

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