15D2144693 CLIA NUMBER - WALMART PHARMACY #10-1341

Laboratory Demographics

  • CLIA Code: 15D2144693
  • Facility Name: WALMART PHARMACY #10-1341
  • Facility Address: 335 S RED BANK RD
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 424-5475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID A. BARNES
  • NPI Number: 1760564918
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2144693
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1341
Street 335 S RED BANK RD
City EVANSVILLE
State IN
ZIP 47712
Phone 812 424-5475
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 DAVID A. BARNES

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