15D2127978 CLIA NUMBER - WALMART PHARMACY #10-2691

Laboratory Demographics

  • CLIA Code: 15D2127978
  • Facility Name: WALMART PHARMACY #10-2691
  • Facility Address: 2910 GRANT LINE RD
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 944-1214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN DOYEN
  • NPI Number: 1578580940
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2127978
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2691
Street 2910 GRANT LINE RD
City NEW ALBANY
State IN
ZIP 47150
Phone 812 944-1214
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 STEVEN DOYEN

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