15D2127971 CLIA NUMBER - WALMART PHARMACY #10-2819

Laboratory Demographics

  • CLIA Code: 15D2127971
  • Facility Name: WALMART PHARMACY #10-2819
  • Facility Address: 2100 N MAIN ST
    BLUFFTON, IN
    ZIP 46714
  • Facility Phone: 260 824-0546
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TROY REX
  • NPI Number: 1760409130
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2127971
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2819
Street 2100 N MAIN ST
City BLUFFTON
State IN
ZIP 46714
Phone 260 824-0546
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 TROY REX

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