15D2144685 CLIA NUMBER - WALMART PHARMACY #10-1388

Laboratory Demographics

  • CLIA Code: 15D2144685
  • Facility Name: WALMART PHARMACY #10-1388
  • Facility Address: 2501 E NORTH ST
    KENDALLVILLE, IN
    ZIP 46755
  • Facility Phone: (260) 347-4300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA ZIEMNIAK
  • NPI Number: 1487671798
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2144685
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1388
Street 2501 E NORTH ST
City KENDALLVILLE
State IN
ZIP 46755
Phone 2603474300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2026
Certificate Expiration Date 2/20/2028
Facility Type Pharmacy
Lab Director SAMANTHA ZIEMNIAK

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This page was last updated on: 5/18/2026