15D2127979 CLIA NUMBER - WALMART PHARMACY #10-3851

Laboratory Demographics

  • CLIA Code: 15D2127979
  • Facility Name: WALMART PHARMACY #10-3851
  • Facility Address: 2347 VETERANS MEMORIAL PKWY S
    LAFAYETTE, IN
    ZIP 47909
  • Facility Phone: 765 477-9391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUYEMI ALADEJEBI
  • NPI Number: 1417041575
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2127979
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3851
Street 2347 VETERANS MEMORIAL PKWY S
City LAFAYETTE
State IN
ZIP 47909
Phone 765 477-9391
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 OLUYEMI ALADEJEBI

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