15D2144596 CLIA NUMBER - WALMART PHARMACY #10-1263

Laboratory Demographics

  • CLIA Code: 15D2144596
  • Facility Name: WALMART PHARMACY #10-1263
  • Facility Address: 401 N BURKHARDT RD
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 473-1815
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA SMITH
  • NPI Number: 1528141611
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144596
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1263
Street 401 N BURKHARDT RD
City EVANSVILLE
State IN
ZIP 47715
Phone 812 473-1815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Pharmacy
Lab Director JENNA SMITH

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