15D2127973 CLIA NUMBER - WALMART PHARMACY #10-2339

Laboratory Demographics

  • CLIA Code: 15D2127973
  • Facility Name: WALMART PHARMACY #10-2339
  • Facility Address: 2801 NORTHWESTERN AVE
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: (765) 463-0910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH JENKINS

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CLIA Record

Field Name Field Value
CLIA Number 15D2127973
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2339
Street 2801 NORTHWESTERN AVE
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 7654630910
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 DEBORAH JENKINS

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This page was last updated on: 5/18/2026