15D2144676 CLIA NUMBER - WALMART PHARMACY #10-1013

Laboratory Demographics

  • CLIA Code: 15D2144676
  • Facility Name: WALMART PHARMACY #10-1013
  • Facility Address: 1795 E STATE ROAD 163
    CLINTON, IN
    ZIP 47842
  • Facility Phone: 765 832-3533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE HARRISON
  • NPI Number: 1659398956
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2144676
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1013
Street 1795 E STATE ROAD 163
City CLINTON
State IN
ZIP 47842
Phone 765 832-3533
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 DANIELLE HARRISON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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