15D2144668 CLIA NUMBER - WALMART PHARMACY #10-1141

Laboratory Demographics

  • CLIA Code: 15D2144668
  • Facility Name: WALMART PHARMACY #10-1141
  • Facility Address: 1965 N STATE ST
    GREENFIELD, IN
    ZIP 46140
  • Facility Phone: 317 462-8850
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES MICHAEL CHOUEIRI
  • NPI Number: 1821179219
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144668
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1141
Street 1965 N STATE ST
City GREENFIELD
State IN
ZIP 46140
Phone 317 462-8850
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 JAMES MICHAEL CHOUEIRI

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