15D2144690 CLIA NUMBER - WALMART PHARMACY #10-1425

Laboratory Demographics

  • CLIA Code: 15D2144690
  • Facility Name: WALMART PHARMACY #10-1425
  • Facility Address: 402 W PLAZA DR
    COLUMBIA CITY, IN
    ZIP 46725
  • Facility Phone: (260) 244-4060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAHREN A. SCOTT
  • NPI Number: 1205853413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2144690
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1425
Street 402 W PLAZA DR
City COLUMBIA CITY
State IN
ZIP 46725
Phone 2602444060
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 LAHREN A. SCOTT

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