15D2144662 CLIA NUMBER - WALMART PHARMACY #10-1294

Laboratory Demographics

  • CLIA Code: 15D2144662
  • Facility Name: WALMART PHARMACY #10-1294
  • Facility Address: 3240 SOUTHWESTERN AVE
    MARION, IN
    ZIP 46953
  • Facility Phone: 765 662-0809
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLIN BEESON
  • NPI Number: 1588747224
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144662
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1294
Street 3240 SOUTHWESTERN AVE
City MARION
State IN
ZIP 46953
Phone 765 662-0809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Pharmacy
Lab Director COLLIN BEESON

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