15D2144665 CLIA NUMBER - WALMART PHARMACY #10-0828

Laboratory Demographics

  • CLIA Code: 15D2144665
  • Facility Name: WALMART PHARMACY #10-0828
  • Facility Address: 2373 E MAIN ST
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 317 839-2261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN TODD
  • NPI Number: 1104909035
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144665
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-0828
Street 2373 E MAIN ST
City PLAINFIELD
State IN
ZIP 46168
Phone 317 839-2261
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 AUSTIN TODD

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