15D2144673 CLIA NUMBER - WALMART PHARMACY #10-1162

Laboratory Demographics

  • CLIA Code: 15D2144673
  • Facility Name: WALMART PHARMACY #10-1162
  • Facility Address: 1801 S STATE ROAD 57
    WASHINGTON, IN
    ZIP 47501
  • Facility Phone: 812 254-6681
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY CAPPS
  • NPI Number: 1295752509
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2144673
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1162
Street 1801 S STATE ROAD 57
City WASHINGTON
State IN
ZIP 47501
Phone 812 254-6681
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 ASHLEY CAPPS

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