15D2133205 CLIA NUMBER - WALMART PHARMACY #10-4235

Laboratory Demographics

CLIA Number: 15D2133205

Facility Name: WALMART PHARMACY #10-4235

Facility Address:
2399 S STATE ROAD 46
TERRE HAUTE, IN
ZIP 47803
Get Directions

Facility Phone Number: 812 872-2533

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1841308236

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	15D2133205
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-4235
Street	2399 S STATE ROAD 46
City	TERRE HAUTE
State	IN
ZIP	47803
Phone	812 872-2533
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024