09D2152100 CLIA NUMBER - WALMART PHARMACY #10-5968

Laboratory Demographics

  • CLIA Code: 09D2152100
  • Facility Name: WALMART PHARMACY #10-5968
  • Facility Address: 5929 GEORGIA AVE NW
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: 202 719-3777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PARUL DESAI
  • NPI Number: 1699100123
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2152100
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5968
Street 5929 GEORGIA AVE NW
City WASHINGTON
State DC
ZIP 20011
Phone 202 719-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director PARUL DESAI

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