15D2144686 CLIA NUMBER - WALMART PHARMACY #10-1310

Laboratory Demographics

  • CLIA Code: 15D2144686
  • Facility Name: WALMART PHARMACY #10-1310
  • Facility Address: 5555 S US HWY 41
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 299-4677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: APRIL FORD
  • NPI Number: 1043393762
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144686
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1310
Street 5555 S US HWY 41
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 299-4677
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 APRIL FORD

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