15D2127939 CLIA NUMBER - WALMART PHARMACY #10-1371

Laboratory Demographics

  • CLIA Code: 15D2127939
  • Facility Name: WALMART PHARMACY #10-1371
  • Facility Address: 735 WHITFIELD DR
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 372-4220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA MUCKLEY
  • NPI Number: 1023035334
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2127939
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1371
Street 735 WHITFIELD DR
City COLUMBUS
State IN
ZIP 47201
Phone 812 372-4220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director TERESA MUCKLEY

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