15D2144692 CLIA NUMBER - WALMART PHARMACY #10-1480

Laboratory Demographics

  • CLIA Code: 15D2144692
  • Facility Name: WALMART PHARMACY #10-1480
  • Facility Address: 950 E GREENVILLE PIKE
    WINCHESTER, IN
    ZIP 47394
  • Facility Phone: 765 584-2199
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN A. SUBLER
  • NPI Number: 1942227160
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2144692
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1480
Street 950 E GREENVILLE PIKE
City WINCHESTER
State IN
ZIP 47394
Phone 765 584-2199
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 LAUREN A. SUBLER

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