13D2136343 CLIA NUMBER - WALMART PHARMACY 10-2781

Laboratory Demographics

  • CLIA Code: 13D2136343
  • Facility Name: WALMART PHARMACY 10-2781
  • Facility Address: 2100 12TH AVE RD
    NAMPA, ID
    ZIP 83686
  • Facility Phone: 208 467-5159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH THOMASON PHARMD
  • NPI Number: 1083631337
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2136343
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2781
Street 2100 12TH AVE RD
City NAMPA
State ID
ZIP 83686
Phone 208 467-5159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Pharmacy
Lab Director ELIZABETH THOMASON PHARMD

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