08D2139657 CLIA NUMBER - WALMART CARECLINIC 10-2791

Laboratory Demographics

  • CLIA Code: 08D2139657
  • Facility Name: WALMART CARECLINIC 10-2791
  • Facility Address: 4 COLLEGE PARK LANE
    GEORGETOWN, DE
    ZIP 19947
  • Facility Phone: 479 204-2258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA C. WETZEL
  • NPI Number: 1609893908
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2139657
LAB Type Pharmacy
Facility Name WALMART CARECLINIC 10-2791
Street 4 COLLEGE PARK LANE
City GEORGETOWN
State DE
ZIP 19947
Phone 479 204-2258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director LISA C. WETZEL

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