15D2144688 CLIA NUMBER - WALMART PHARMACY #10-1570

Laboratory Demographics

  • CLIA Code: 15D2144688
  • Facility Name: WALMART PHARMACY #10-1570
  • Facility Address: 505 TOURING DR
    AUBURN, IN
    ZIP 46706
  • Facility Phone: 260 925-8080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD D. MANN
  • NPI Number: 1558443473
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144688
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1570
Street 505 TOURING DR
City AUBURN
State IN
ZIP 46706
Phone 260 925-8080
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 RONALD D. MANN

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