15D2144671 CLIA NUMBER - WALMART PHARMACY #10-1160

Laboratory Demographics

  • CLIA Code: 15D2144671
  • Facility Name: WALMART PHARMACY #10-1160
  • Facility Address: 100 SYCAMORE ESTATES DR
    AURORA, IN
    ZIP 47001
  • Facility Phone: 812 926-4322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHANCE WILLIAMS
  • NPI Number: 1467535195
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144671
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1160
Street 100 SYCAMORE ESTATES DR
City AURORA
State IN
ZIP 47001
Phone 812 926-4322
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 CHANCE WILLIAMS

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